Individual
CHRISTIANA KEHINDE AYANFODUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFF STA, NY 11776-1217
(631) 473-4284
Mailing address
735 LINCOLN AVE APT 13E, BROOKLYN, NY 11208-4138
(917) 482-4876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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