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Individual

MS. JANELLE DELAINE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
(718) 886-8694
Mailing address
1510 ARCHER RD APT 6D, BRONX, NY 10462-5834
(646) 315-0976

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NY

Other

Enumeration date
08/09/2017
Last updated
08/09/2017
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