Individual
JULIAN MATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 E NEW YORK AVE APT 3B, BROOKLYN, NY 11203-5057
(617) 407-1473
Mailing address
906 E NEW YORK AVE APT 3B, BROOKLYN, NY 11203-5057
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
P132759
NY
Other
Enumeration date
02/21/2019
Last updated
05/20/2025
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