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Individual

RACHELLE IPHAEL-ALPHONCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 BI COUNTY BLVD STE 450, FARMINGDALE, NY 11735-3995
(516) 428-0825
Mailing address
55 POOSPATUCK LN, MASTIC, NY 11950-4811
(516) 428-0825

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/06/2019
Last updated
05/06/2019
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