Individual
DJINEFA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18623 HENLEY RD, JAMAICA, NY 11432-2448
(718) 607-5389
(718) 264-3250
Mailing address
18623 HENLEY RD, JAMAICA, NY 11432-2448
(718) 607-5389
(718) 264-3250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1158992
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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