Individual
CANDICE COCKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1964 NOSTRAND AVE APT 4A, BROOKLYN, NY 11210-1507
(718) 309-0990
Mailing address
1964 NOSTRAND AVE APT 4A, BROOKLYN, NY 11210-1507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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