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Individual

LAURA LIMA CISNEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
466 MAIN ST, NEW ROCHELLE, NY 10801-6431
(718) 395-4149
Mailing address
45 CHURCH ST, HIGHLAND FALLS, NY 10928-2036
(845) 825-7620

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NY

Other

Enumeration date
05/19/2019
Last updated
05/19/2019
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