Individual
MRS. ISIDRA B. TUBURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7911 41ST AVE APT C109, ELMHURST, NY 11373-1204
(929) 261-6801
Mailing address
7911 41ST AVE APT C109, ELMHURST, NY 11373-1204
(929) 261-6801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205-618-099
STATE ID
NY
Enumeration date
11/07/2016
Last updated
11/07/2016
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