Individual
MISS JULIA MYRIAH GARDELLA-FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E 7TH ST, APT 416, NEW YORK, NY 10009-5975
(617) 519-9685
Mailing address
190 E 7TH ST, APT 416, NEW YORK, NY 10009-5975
(617) 519-9685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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