Individual
ARDEN ALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2403 GRAND CONCOURSE, BRONX, NY 10468-6820
(718) 220-1477
Mailing address
2304 GRAND AVE, 4B, BRONX, NY 10468
(347) 647-4558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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