Individual
GAY DENT-YONKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 KIMBERLY DR, AURORA, OH 44202-8409
(330) 562-1180
Mailing address
400 KIMBERLY DR, AURORA, OH 44202-8409
(330) 562-1180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33516
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33516
BEHAVIOR ANALYST
—
Enumeration date
10/23/2019
Last updated
10/23/2019
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