Individual
TAMMY JANE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(212) 481-4040
(212) 414-4660
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(212) 481-4040
(212) 414-4660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
06/03/2024
Last updated
06/06/2024
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