Individual
ARLENE A JEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
158 CHESTER ST, MOUNT VERNON, NY 10552-3204
(646) 509-5595
Mailing address
158 CHESTER ST, MOUNT VERNON, NY 10552-3204
(646) 509-5595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
496681111
NY
103K00000X
Behavior Analyst
496682111
NY
103TS0200X
School Psychologist
Primary
1501792211
NY
174400000X
Specialist
496682111
—
Other
Enumeration date
04/23/2011
Last updated
09/15/2021
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