Individual
MR. RAWLE ANTHONY BEARAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11655 QUEENS BLVD STE 216, FOREST HILLS, NY 11375-6527
(212) 804-7659
(888) 975-7704
Mailing address
11655 QUEENS BLVD STE 216, FOREST HILLS, NY 11375-6527
(212) 804-7659
(888) 975-7704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2024
Last updated
12/26/2025
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