Individual
JOSHUA AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
11 SHEPPARD ST, GLEN HEAD, NY 11545-1815
(516) 768-2727
Mailing address
11 SHEPPARD ST, GLEN HEAD, NY 11545-1815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23562
—
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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