Individual
MISS BLAKE G WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 WESTCHESTER AVE STE 202, BRONX, NY 10461-4580
(347) 621-2185
Mailing address
487 COLUMBUS AVE APT 2R, NEW YORK, NY 10024-4680
(646) 275-7045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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