Individual
SYDNEY M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 61ST ST, BROOKLYN, NY 11204-2746
(785) 512-0303
Mailing address
1649 61ST ST, BROOKLYN, NY 11204-2746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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