Individual
JEAN R ALTIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 E 100TH ST, BROOKLYN, NY 11236-5522
(718) 755-2446
Mailing address
1415 E 100TH ST, BROOKLYN, NY 11236-5522
(718) 755-2446
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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