Individual
ANNE LYNE SOPHIA DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2928 W 36TH ST, BROOKLYN, NY 11224-1410
(718) 372-3300
Mailing address
2928 W 36TH ST, BROOKLYN, NY 11224-1410
(718) 372-3300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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