Antoinette Modeste

NPI #1023764412 in Whitestone, New York

Provider Information

NPI Number: 1023764412
Entity Type: Individual
Name: Antoinette Modeste
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 24, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 1408B CLINTONVILLE ST
City: Whitestone
State: New York
ZIP Code: 11357-1861
Phone: (516) 780-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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