Individual
HEIDI MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25-09 MCINTOSH STREET, EAST ELMHURST, NY 11369
(347) 774-6695
Mailing address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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