Individual
MR. MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 STEVENS ST, WHITE PLAINS, NY 10606-3220
(347) 680-0759
Mailing address
74 STEVENS ST, WHITE PLAINS, NY 10606-3220
(347) 680-0759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
02/03/2022
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