Individual
ANDREA CHRISTINE GJELUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBC, LBA-NY
Contact information
Practice address
128 W 95TH ST, NEW YORK, NY 10025-6604
(646) 480-5756
Mailing address
1520 202ND ST APT 2E, BAYSIDE, NY 11360-1005
(603) 401-9418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001497
NY
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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