Individual
MRS. TERESA DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, EDU
Contact information
Practice address
11852 235TH ST, CAMBRIA HEIGHTS, NY 11411-2320
(917) 771-1809
Mailing address
11852 235TH ST, CAMBRIA HEIGHTS, NY 11411-2320
(917) 771-1809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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