Individual
DEANNA MARIE HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747
(631) 385-7780
(631) 385-7795
Mailing address
13540 77TH AVE APT A, FLUSHING, NY 11367-2802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2018
Last updated
07/24/2018
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