MONSURAT MODUPE LADEJOBI

MELVILLE, NY
NPI1013490903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies252Y00000X Early Intervention Provider Agency
Enumeration Date2018-09-07
Last Update Date2018-09-20
Business Address
MONSURAT MODUPE LADEJOBI
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Mailing Address
MONSURAT MODUPE LADEJOBI
7000 AUSTIN ST
FOREST HILLS, NY 11375-1022
Phone number:
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