Individual
DABICA PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23715 EDMORE AVE, BELLEROSE, NY 11426-1139
(516) 790-3302
Mailing address
23715 EDMORE AVE, BELLEROSE, NY 11426-1139
(516) 790-3302
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
089947-1
NY
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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