Individual
ANGELICA MARIA FREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 56TH AVE APT 5U, ELMHURST, NY 11373-4906
(917) 943-9289
Mailing address
8950 56TH AVE APT 5U, ELMHURST, NY 11373-4906
(917) 943-9289
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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