Individual
COREY DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1385 NELSON AVE APT A, BRONX, NY 10452-2452
(646) 771-9098
Mailing address
1385 NELSON AVE APT A, BRONX, NY 10452-2452
(646) 771-9098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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