Individual
SABRINA MADISON MICALLEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21410 24TH AVE, BAYSIDE, NY 11360-2219
(347) 321-4094
Mailing address
16047 24TH RD, WHITESTONE, NY 11357-3942
(718) 813-3035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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