Individual
GENNADIY BONDARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5202 EASTPARK BLVD STE 100, MADISON, WI 53718-2151
(833) 646-3222
Mailing address
224 W 35TH ST STE 500, NEW YORK, NY 10001-2538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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