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Individual

GANNA BARTASHEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SC

Contact information

Practice address
4 MUNCEE CT, HOLMDEL, NJ 07733-1246
(718) 415-9046
Mailing address
1580 DAHILL RD, 2 FL, BROOKLYN, NY 11204-3573
(718) 375-2505

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
06/26/2014
Last updated
10/01/2024
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