Individual
MS. CHARLOTTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(917) 656-6417
Mailing address
202 E 13TH ST APT 4F, NEW YORK, NY 10003-5686
(917) 656-6417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
209232441
NY
Other
Enumeration date
05/10/2017
Last updated
05/11/2017
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