Individual
EDWARD TIBOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1178 BROADWAY FL 3, NEW YORK, NY 10001-5666
(917) 284-9393
Mailing address
1083 CHRISTIAN RD, MIDDLEBURY, CT 06762-3314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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