Individual
SERNIQUA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 E MOSHOLU PKWY S APT 9A, BRONX, NY 10458-1182
(917) 536-5798
Mailing address
170 E MOSHOLU PKWY S APT 9A, BRONX, NY 10458-1182
(917) 536-5798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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