Individual
MR. JOSE L SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ED
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
(718) 886-8694
Mailing address
30 ELLWOOD ST, APT.6E, NEW YORK, NY 10040-1937
(347) 366-7959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
295534
NY
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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