Individual
MARCIA PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10308 217TH PL, QUEENS VILLAGE, NY 11429-1530
(646) 249-7644
Mailing address
10308 217TH PL, QUEENS VILLAGE, NY 11429-1530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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