Fredericksen Rasberry, Iyanla

Fredericksen Rasberry, Iyanla is an sole proprietor health care provider with primary practice located at 4277 65Th Pl , Woodside NY 11377-5054. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fredericksen Rasberry, Iyanla can be contacted via phone (718) 429-2000.

Contact Information

Primary practice address
4277 65Th Pl Woodside NY 11377-5054
Phone: (718) 429-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1962024471
LBN Legal business name Fredericksen Rasberry, Iyanla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2020
Last updated May 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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