Individual
JESSICA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
239 BRINSMADE AVE, BRONX, NY 10465-3201
(347) 968-4774
Mailing address
239 BRINSMADE AVE, BRONX, NY 10465-3201
(347) 968-4774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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