Individual
MR. DOUGLAS DEGUIRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
816 E 218TH ST, BRONX, NY 10467-5806
(917) 346-3382
Mailing address
816 E 218TH ST, BRONX, NY 10467-5806
(917) 346-3382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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