Individual
JUAN ROSA FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1249 CLAY AVE APT 5A, BRONX, NY 10456-3396
(917) 564-2768
Mailing address
1249 CLAY AVE APT 5A, BRONX, NY 10456-3396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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