Individual
MS. MARCIA DINORA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 PERSHING ST, VALLEY STREAM, NY 11580-1233
(516) 304-0835
Mailing address
1661 PERSHING ST, VALLEY STREAM, NY 11580-1233
(516) 304-0835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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