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Individual

JOSE ROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
391 E 149TH ST RM 417, BRONX, NY 10455-3907
(718) 676-9491
(914) 462-4513
Mailing address
561 10TH AVE APT 10E, NEW YORK, NY 10036-3048
(718) 877-6272

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
09/29/2021
Last updated
09/29/2021
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