Individual
CHERYL JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10601 227TH ST, QUEENS VILLAGE, NY 11429-2464
(347) 355-1373
Mailing address
10601 227TH ST, QUEENS VILLAGE, NY 11429-2464
(347) 355-1373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/28/2018
Last updated
06/25/2019
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