Individual
IRTIS WILLIAMS-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WILLIAM ST, VALLEY STREAM, NY 11580-1029
(347) 693-0338
Mailing address
31 WILLIAM ST, VALLEY STREAM, NY 11580-1029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
082516851
NY
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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