Individual
BLYTHE GABAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 JAMES ST, FRANKLIN SQUARE, NY 11010-2409
(516) 469-8433
Mailing address
53 JAMES ST, FRANKLIN SQUARE, NY 11010-2409
(516) 469-8433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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