Individual
MARY DEPAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 PENNSYLVANIA AVE PH, MOUNT VERNON, NY 10552-2419
(347) 912-0372
Mailing address
95 PENNSYLVANIA AVE PH, MOUNT VERNON, NY 10552-2419
(347) 912-0372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000000
NY
106S00000X
Behavior Technician
—
NY
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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