Most Relevant Information
Provider Data
| NPI Number: | 1003356098 |
| Provider Name: | AZZARIS NIEVES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2017 |
| Last Updated: | 02/24/2017 |
Provider Practice Location
231 GRAFF AVE
BRONX
NY
104653118
Practice Location Phone/Fax
| Phone: | 9173780553 |
| Fax: |
Provider Mailing Location
231 GRAFF AVE
BRONX
NY
104653118
Provider Mailing Phone/Fax
| Phone: | 9173780553 |
| Fax: |