Individual
THALIA LEE QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(646) 590-4198
Mailing address
286 WILSON AVE, STATEN ISLAND, NY 10308-1935
(347) 220-2228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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