Individual
MRS. ALTHEA E ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
4115 DIGNEY AVE BSMT, BRONX, NY 10466-2019
(646) 541-2474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-116083
NY
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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