Individual
JAZMEN ERICKA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, BRONX, NY 10451-5625
(347) 301-9845
Mailing address
2261 ANDREWS AVE APT 53, BRONX, NY 10468-5940
(347) 301-9845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
NY
Enumeration date
07/03/2018
Last updated
07/03/2018
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