Individual
NATALIA DEROUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF SCIENCE
Contact information
Practice address
1045 BAY RIDGE AVE APT 3B, BROOKLYN, NY 11219-6050
(732) 476-9257
Mailing address
1045 BAY RIDGE AVE APT 3B, BROOKLYN, NY 11219-6050
(732) 476-9257
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1776181241
NY
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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