Individual
MR. MARIO LECORPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11706 225TH ST, CAMBRIA HEIGHTS, NY 11411-1706
(718) 712-8511
(718) 527-5624
Mailing address
11706 225TH ST FL 1, CAMBRIA HEIGHTS, NY 11411-1706
(718) 712-8511
(718) 527-5624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/25/2024
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