Individual
HENNA MUTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 LANE ST UNIT 201, MONSEY, NY 10952-4036
(917) 626-6470
Mailing address
5 LANE ST UNIT 201, MONSEY, NY 10952-4036
(917) 626-6470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43961
NY
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
252Y00000X
Early Intervention Provider Agency
1406151201
NY
Other
Enumeration date
10/18/2020
Last updated
02/14/2024
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