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Individual

STEPHANIE HYACINTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN

Contact information

Practice address
466 MAIN ST, NEW ROCHELLE, NY 10801-6431
(718) 769-2698
Mailing address
260 HAWTHORNE ST APT C3, BROOKLYN, NY 11225-5915
(347) 268-2040

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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