Individual
CASSANDRA CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
3501 21ST AVE APT 5B, ASTORIA, NY 11105-2046
(347) 656-3557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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