Individual
JAINABA NEWLANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 PARK AVE, BRONX, NY 10458-7617
(347) 325-4904
Mailing address
4646 PARK AVE APT 3B, BRONX, NY 10458-7655
(347) 325-4904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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