Individual
MRS. ANNIE BRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 RADIANT HL, LAKEWOOD, NJ 08701-4988
(732) 523-1650
Mailing address
1455 59TH ST, BROOKLYN, NY 11219-5017
(347) 817-6421
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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