Individual
MR. HERVE PROVINCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 21ST ST, APT. 1R, BROOKLYN, NY 11215-6328
(646) 595-5143
Mailing address
291 21ST ST, APT. 1R, BROOKLYN, NY 11215-6328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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