Individual
GILDA NICOLE BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 FRANKEL BLVD, MERRICK, NY 11566-4734
(516) 314-7067
Mailing address
356 FRANKEL BLVD, MERRICK, NY 11566-4734
(516) 314-7067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FP80539F
—
NY
Enumeration date
03/18/2020
Last updated
03/18/2020
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