Individual
EILEEN CARTER-CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14853 235TH ST, ROSEDALE, NY 11422-3270
(347) 661-5739
Mailing address
148-53 235TH STREET, ROSEDALE, NY 11422
(347) 661-5739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
691875
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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