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Individual

ELENA CHERNYSHEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3091 BRIGHTON 3RD ST APT 2A, BROOKLYN, NY 11235-7335
(917) 698-1118
Mailing address
3091 BRIGHTON 3RD ST APT 2A, BROOKLYN, NY 11235-7335
(917) 698-1118

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10
BEHAVIORAL HEALTH AND SOCIAL SERVICE PROVIDER
NY
Enumeration date
06/29/2016
Last updated
06/29/2016
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