Individual
SARA ETENGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
876 E 26TH ST, BROOKLYN, NY 11210-2824
(917) 865-2937
Mailing address
876 E 26TH ST, BROOKLYN, NY 11210-2824
(917) 865-2937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002693
NY
174400000X
Specialist
943700151
NY
Other
Enumeration date
07/21/2015
Last updated
01/07/2024
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