Individual
AJA-RAE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 590-7575
Mailing address
2755 DEWEY AVE APT 6C, BRONX, NY 10465-2821
(347) 866-3302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
04/25/2019
Last updated
04/25/2019
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