Individual
JENNY EXIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
(718) 676-9491
Mailing address
189 ETHEL ST, VALLEY STREAM, NY 11580-3146
(516) 343-6594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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