Individual
MRS. SHNIQUE ROSSCLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MADISON AVE, NEW YORK, NY 10010-1600
(212) 679-7867
Mailing address
2046 E 64TH ST, BROOKLYN, NY 11234-5912
(917) 312-5953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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