Individual
JENAYA BELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST, NEW ROCHELLE, NY 10801-6431
(718) 769-2698
Mailing address
3204 PARK AVE, BRONX, NY 10451-4045
(347) 691-2476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NEXT
N/A
—
Enumeration date
01/09/2019
Last updated
01/09/2019
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