Individual
MRS. DAWN RUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPECIAL EDUCATION
Contact information
Practice address
22 W. 15TH STREET, #18D, NEW YORK, NY 10011
(917) 363-4129
Mailing address
33 MANETTO DR, PLAINVIEW, NY 11803-2124
(516) 576-2001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1614374
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1614374
NY
252Y00000X
Early Intervention Provider Agency
Primary
1614374
NY
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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