Individual
MS. ASHLEY MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT. BCBA, LBA-NY
Contact information
Practice address
124 W 95TH ST, NEW YORK, NY 10025-6604
(847) 528-8764
Mailing address
19 WYCKOFF ST APT 16, BROOKLYN, NY 11201-6341
(847) 528-8764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001533
NY
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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