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Individual

ISAAC MARI-JATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
140 ELGAR PL APT 10L, BRONX, NY 10475-5235
(929) 241-7745
Mailing address
140 ELGAR PL APT 10L, BRONX, NY 10475-5235
(929) 241-7745

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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