Individual
DELIA JEANETTE MEDINA-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL ED, M.S
Contact information
Practice address
210 W 251ST ST, APT 6A, BRONX, NY 10471-3042
(646) 714-8453
Mailing address
210 W 251ST ST, APT 6A, BRONX, NY 10471-3042
(646) 714-8453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
731635131
NY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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