Provider Demographics
NPI:1366006140
Name:ARISTHENE, MARKYTHA VICKY (MSED)
Entity Type:Individual
Prefix:MRS
First Name:MARKYTHA
Middle Name:VICKY
Last Name:ARISTHENE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:MARKYTHA
Other - Middle Name:VICKY
Other - Last Name:ERNEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:943 E 101ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2617
Mailing Address - Country:US
Mailing Address - Phone:917-710-3350
Mailing Address - Fax:
Practice Address - Street 1:943 E 101ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2617
Practice Address - Country:US
Practice Address - Phone:917-710-3350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst