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Individual

NYASHA HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(646) 666-3088
Mailing address
642 E 233RD ST APT 4D, BRONX, NY 10466-2824
(347) 326-0964

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/22/2019
Last updated
02/22/2019
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