Individual
JERRYSHA ALEYA ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
625 E 96TH ST, BROOKLYN, NY 11236-1301
(347) 433-2568
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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