Most Relevant Information
Provider Data
| NPI Number: | 1003371428 |
| Provider Name: | EMELY ANGELINA DE LOS SANTOS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2019 |
| Last Updated: | 02/11/2019 |
Provider Practice Location
204 E 35TH ST
NEW YORK
NY
100164202
Practice Location Phone/Fax
| Phone: | 6465935913 |
| Fax: |
Provider Mailing Location
204 E 35TH ST
NEW YORK
NY
100164202
Provider Mailing Phone/Fax
| Phone: | 9465935913 |
| Fax: |