Individual
DENISE PATRICIA SEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E 93RD ST APT 12B, NEW YORK, NY 10128-3754
(212) 920-9671
Mailing address
222 E 93RD ST APT 12B, NEW YORK, NY 10128-3754
(212) 920-9671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532850812
NEW YORK STATE DRIVERS LICENSE
NY
Enumeration date
10/24/2022
Last updated
10/24/2022
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