Individual
JIMMIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 PRAIRIE AVE, SUFFERN, NY 10901-6232
(845) 641-1785
Mailing address
53 PRAIRIE AVE, SUFFERN, NY 10901-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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