Individual
JOAQUINA MANZUETA DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 CROTONA PARK E APT 4H, BRONX, NY 10460-4865
(917) 705-7696
Mailing address
1660 CROTONA PARK E APT 4H, BRONX, NY 10460-4865
(917) 705-7696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-276604
TX
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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