Individual
MARLENE SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 WALTON AVE APT 6D, BRONX, NY 10452-9505
(646) 915-7921
Mailing address
901 WALTON AVE APT 6D, BRONX, NY 10452-9505
(646) 915-7921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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