Individual
COURTNEY GENELL MIDGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239-08 149TH AVE, ROSEDALE, NY 11422
(646) 387-7143
Mailing address
239-08 149TH AVE, ROSEDALE, NY 11422
(646) 387-7143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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