Individual
JANELLE BOUSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
612 PROSPECT AVE, 1, BROOKLYN, NY 11215-6012
(760) 505-2519
Mailing address
612 PROSPECT AVE, 1, BROOKLYN, NY 11215-6012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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