Individual
GURBAN JALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 PARROTT PL APT 4A, BROOKLYN, NY 11228-3630
(646) 894-3060
Mailing address
92 PARROTT PL APT 4A, BROOKLYN, NY 11228-3630
(646) 894-3060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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