Individual
MRS. PHILLIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSHH/TSLD
Contact information
Practice address
12042 217TH ST, CAMBRIA HEIGHTS, NY 11411-1908
(718) 527-4296
Mailing address
12042 217TH ST, CAMBRIA HEIGHTS, NY 11411-1908
(718) 527-4296
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K0000X
NY
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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