Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1208179 | NY |
NPI | 1003571639 |
---|---|
Provider Name | Mr. Jerel Aulstroupt Armstrong |
First Address | Bronx, NY 10469-3122 |
Second Address | Ardsley, NY 10502-1047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2021 |
Last Update Date | 08/11/2021 |