Individual
ADELA A TIBURCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 DIVISION AVE, BROOKLYN, NY 11249
(917) 873-8578
Mailing address
60 DIVISION AVE, BROOKLYN, NY 11249-6659
(917) 873-8578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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