Individual
REBECCA E GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(171) 863-3441
Mailing address
336 HOWARD AVE, WOODMERE, NY 11598-2911
(516) 240-3461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35440
NY
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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