Individual
AVA SLOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 RIVER RD STE 14, HARRIMAN, NY 10926-3040
(845) 863-5208
(845) 395-9296
Mailing address
12 WINSTON PL, MARLBORO, NY 12542-5967
(845) 863-5208
(845) 395-9296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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