Individual
SOPHIE BUKENYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
17214 HENLEY RD, JAMAICA, NY 11432-2774
(203) 589-2299
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
09/13/2018
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