Individual
CHAVONE RE LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 DREW ST APT 311, BROOKLYN, NY 11208-5150
(347) 975-8967
Mailing address
901 DREW ST APT 311, BROOKLYN, NY 11208-5150
(347) 975-8967
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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