Individual
MEGHAN DAVIS RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
698 4TH AVE APT 2, BROOKLYN, NY 11232-1237
(401) 932-8437
Mailing address
698 4TH AVE APT 2, BROOKLYN, NY 11232-1237
(401) 932-8437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000831-1
NY
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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