Individual
MICHAELA JAQUETA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(800) 679-3609
Mailing address
115 LINCOLN RD APT 5K, BROOKLYN, NY 11225-4053
(347) 645-0122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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