Individual
INDAIRA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 GRAND AVE, FREEPORT, NY 11520-2403
(516) 960-4292
Mailing address
239 GRAND AVE, FREEPORT, NY 11520-2403
(516) 960-4292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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