Individual
MINIRATU DEEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(516) 590-7575
Mailing address
208 HOLLAND DR, SOMERSET, NJ 08873-4677
(732) 801-1982
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03061992
—
NJ
Enumeration date
04/11/2019
Last updated
04/11/2019
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