Individual
DITA DESENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 W 35TH ST, NEW YORK, NY 10001-1907
(718) 728-8476
Mailing address
253 W 35TH ST, NEW YORK, NY 10001-1907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001098-1
NY
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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