Individual
YAIREL TELLEZ SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 E 49TH ST APT 1B, NEW YORK, NY 10017-1551
(646) 780-9227
Mailing address
5617 ROOSEVELT AVE # 1, WOODSIDE, NY 11377-3428
(347) 935-8544
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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