Individual
CHANTE ONIKA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13118 132ND ST, SOUTH OZONE PARK, NY 11420-3423
(347) 439-7004
Mailing address
13118 132ND ST, SOUTH OZONE PARK, NY 11420-3423
(347) 439-7004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NY
Other
Enumeration date
10/18/2016
Last updated
12/21/2016
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