Individual
CIERA DANICE BRUMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 LAKE DR, MEDFORD, NY 11763-4610
(516) 923-3017
Mailing address
614 LAKE DR, MEDFORD, NY 11763-4610
(516) 923-3017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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