Individual
EILEEN MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W 156TH ST APT 43, NEW YORK, NY 10032-7532
(347) 433-6682
Mailing address
611 W 156TH ST APT 43, NEW YORK, NY 10032-7532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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