Individual
JULIANA MARIA DIJKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PEARSALL AVE, CEDARHURST, NY 11516-1842
(516) 213-3338
Mailing address
99 RICHMOND BLVD UNIT 3A, RONKONKOMA, NY 11779-3657
(516) 306-5713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002669
NY
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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