Individual
SOPHIA SANTOS ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(631) 385-7780
Mailing address
6601 BURNS ST APT 6R, REGO PARK, NY 11374-3908
(917) 664-8597
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000
NY
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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