Individual
GAVRIELLA BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PEARSALL AVE STE 100, CEDARHURST, NY 11516-1842
(516) 213-3338
Mailing address
821 WOODMERE CT APT 2D, WOODMERE, NY 11598-2506
(516) 362-9561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB481570
NY
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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