MS. Twalena Elaine Maxwell

NPI #1013688373 in Bay Shore, New York

Provider Information

NPI Number: 1013688373
Entity Type: Individual
Name: MS. Twalena Elaine Maxwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 25, 2021
Last Updated: Sep 25, 2021

Practice Location

Address: 1500 BRENTWOOD RD
City: Bay Shore
State: New York
ZIP Code: 11706-3204
Phone: (631) 214-6251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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