Individual
MISS ABIGAIL ELANGOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8 THE PL, GLEN COVE, NY 11542-2489
(917) 873-1903
Mailing address
30 W COLUMBIA ST, HEMPSTEAD, NY 11550-2411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB367295
NY
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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