Individual
MISS COURTNEY MICHELE BEIRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
7609 58TH RD, MIDDLE VILLAGE, NY 11379-5208
(917) 548-4779
Mailing address
7609 58TH RD, MIDDLE VILLAGE, NY 11379-5208
(917) 548-4779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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