Individual
AILEEN CABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 BRADY AVE, BRONX, NY 10462-2758
(917) 691-1699
Mailing address
758 BRADY AVE, BRONX, NY 10462-2758
(917) 691-1699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174400000X
Specialist
Primary
272874
NY
Other
Enumeration date
12/04/2012
Last updated
12/06/2012
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