Individual
CRYSTAL AVON BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(646) 666-3080
Mailing address
858 E 29TH ST, BROOKLYN, NY 11210-2927
(718) 859-4500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
02/13/2019
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