Individual
CHERYL LOREN NEWCOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, BCBA, LBA
Contact information
Practice address
2638 21ST ST APT 3B, ASTORIA, NY 11102-4197
(917) 670-9665
Mailing address
2638 21ST ST APT 3B, ASTORIA, NY 11102-4197
(917) 670-9665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000119
NY
103K00000X
Behavior Analyst
1073395
NC
Other
Enumeration date
01/24/2012
Last updated
10/14/2023
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