Individual
ADRA PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 EAST 156TH STREET, SUITE- 13K, BRONX, NY 10451-4856
(929) 243-2395
Mailing address
304 EAST 156TH STREET, SUITE- 13K, BRONX, NY 10451-4856
(929) 243-2395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
862445141
NY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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