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1174264113
CARLOS ISRAEL PENALVA
VALLEY STREAM, NY
NPI
1174264113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
CARLOS ISRAEL PENALVA
70 E SUNRISE HWY STE 500
VALLEY STREAM, NY 11581-1233
Phone number: 929-202-5601
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Mailing Address
CARLOS ISRAEL PENALVA
70 E SUNRISE HWY STE 500
VALLEY STREAM, NY 11581-1233
Phone number: 929-202-5601
Copy
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