PRAMOD OLIVER VIDANA

MELVILLE, NY
NPI1770054876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
Mr. PRAMOD OLIVER VIDANA
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Mailing Address
Mr. PRAMOD OLIVER VIDANA
4370 KISSENA BLVD APT 19C
FLUSHING, NY 11355-3739
Phone number: 917-443-4597
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