Individual
LYNNETTE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W 50TH ST, NEW YORK, NY 10020-1201
(000) 000-0000
Mailing address
135 W 50TH ST, NEW YORK, NY 10020-1201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376491709
DRIVERS LICENSE
NY
Enumeration date
11/04/2020
Last updated
11/04/2020
About Stedi
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