Individual
MRS. ROSANIDIA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR'S DEGREE
Contact information
Practice address
6202 62ND AVE FL 1, MIDDLE VILLAGE, NY 11379-1011
(917) 688-6699
Mailing address
6206 62ND AVE, MIDDLE VILLAGE, NY 11379-1011
(917) 686-6996
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
103K00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930220023
GHI
NY
Enumeration date
08/24/2018
Last updated
08/24/2018
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