Individual
MRS. AYISHA MONIQUE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
500 BI COUNTY BLVD STE 450, FARMINGDALE, NY 11735-3995
(516) 265-4177
Mailing address
612 OCEAN AVE APT 2A, BROOKLYN, NY 11226-4411
(347) 520-3356
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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