Individual
ANDREA VASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21701 138TH AVE, SPRINGFIELD GARDENS, NY 11413-2222
(646) 898-9412
Mailing address
21701 138TH AVE, SPRINGFIELD GARDENS, NY 11413-2222
(646) 898-9412
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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