Individual
MISS BRYONY ELLEN RODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 STATE ST STE 700, ALBANY, NY 12207-1707
(631) 385-7780
(631) 385-7795
Mailing address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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