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1922776301
TIA-MIMI BA'ANA
MELVILLE, NY
NPI
1922776301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
TIA-MIMI BA'ANA
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
TIA-MIMI BA'ANA
165 E 19TH ST APT 3B
BROOKLYN, NY 11226-4834
Phone number: 347-324-2918
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