Individual
MS. FARADJA THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVENUE K APT 4D, BROOKLYN, NY 11210-4961
(347) 845-3769
Mailing address
4211 AVENUE K APT 4D, BROOKLYN, NY 11210-4961
(347) 845-3769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
DE
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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