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Individual

MARISKA HOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
532 E 87TH ST APT 1, BROOKLYN, NY 11236-3285
(718) 496-0470
Mailing address
532 E 87TH ST APT 1, BROOKLYN, NY 11236-3285
(718) 496-0470

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
02/28/2024
Last updated
02/28/2024
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