Individual
LYNETTE JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
159 W 118TH ST, NEW YORK, NY 10026-1854
(646) 524-5984
Mailing address
1304 STERLING PL APT 1L, BROOKLYN, NY 11213-2823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1992130017
NY
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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