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Individual

DEBRA ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
147 PRINCE ST, BROOKLYN, NY 11201-3022
(718) 536-2958
Mailing address
14714 72ND AVE, FLUSHING, NY 11367-2544
(201) 874-2960

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11937539

Other

Enumeration date
10/16/2020
Last updated
10/16/2020
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