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Individual

MS. RAQUEL CONCEPCION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
329 E 149TH ST FL 4, BRONX, NY 10451-5626
(646) 538-5736
Mailing address
329 E 149TH ST FL 4, BRONX, NY 10451-5626
(646) 538-5736

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NY

Other

Enumeration date
06/24/2019
Last updated
06/24/2019
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