Individual
COURTNEY A. BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
116 W 32ND ST FL 8, NEW YORK, NY 10001-3212
(212) 564-2350
Mailing address
34-36 80TH STREET, #1, JACKSON HEIGHTS, NY 11372
(646) 539-8080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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