Individual
KEONNA GREENIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(800) 679-3600
Mailing address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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