Individual
JENNIFER L PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 ELLSWORTH AVE, BRONX, NY 10465-1413
(347) 852-6555
Mailing address
1116 ELLSWORTH AVE, BRONX, NY 10465-1413
(347) 852-6555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
764809132
NY
Other
Enumeration date
08/06/2014
Last updated
03/19/2015
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