Individual
HOLLY BETH SHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W 57TH ST APT 7K, NEW YORK, NY 10019-3012
(516) 659-8354
Mailing address
408 W 57TH ST APT 7K, NEW YORK, NY 10019-3012
(516) 659-8354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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