Individual
MS. DINA LYNNE BROADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATOR
Contact information
Practice address
1 BEACH 105TH ST, APT. 3X, ROCKAWAY PARK, NY 11694-2695
(347) 453-4453
Mailing address
1 BEACH 105TH ST, APT. 3X, ROCKAWAY PARK, NY 11694-2695
(347) 453-4453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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