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Individual

IVANA KRSTOVSKA-GUERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
99 HILLSIDE AVENUE, APT 19 C, NEW YORK, NY 10040-2723
(917) 957-8159
Mailing address
99 HILLSIDE AVENUE, APT 19 C, NEW YORK, NY 10040-2723
(917) 957-8159

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021188
NY
103TB0200X
Cognitive & Behavioral Psychologist
021188
NY
174400000X
Specialist

Other

Enumeration date
06/12/2012
Last updated
11/19/2021
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