Individual
AUDRA PALACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8940 97TH ST, WOODHAVEN, NY 11421-2724
(212) 203-9773
Mailing address
8940 97TH ST, WOODHAVEN, NY 11421-2724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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