Individual
CINDY GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 JORDAN DR, MEDFORD, NY 11763-2050
(631) 882-0528
Mailing address
41 JORDAN DR, MEDFORD, NY 11763-2050
(631) 774-6332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004192
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/01/2022
Last updated
04/29/2025
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