Individual
KATHERINE ELIZABETH BROOKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
521 W 239TH ST, BRONX, NY 10463-1205
(718) 601-2280
Mailing address
521 W 239TH ST, BRONX, NY 10463-1205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
107039-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107039-01
LMSW LICENSE NUMBER
NY
Enumeration date
08/16/2019
Last updated
08/16/2019
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