Individual
MILENE VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 202, BELLMORE, NY 11710-5784
(516) 698-6995
Mailing address
25 PIERCE AVE APT 1, JERSEY CITY, NJ 07307-4366
(201) 707-5553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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