Individual
JULISA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 SEDGWICK AVE APT 1I, BRONX, NY 10468-3115
(347) 835-8953
Mailing address
2710 SEDGWICK AVE APT 1I, BRONX, NY 10468-3115
(347) 835-8953
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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