Provider Demographics
NPI:1487017380
Name:SALNAVE, MARIE JOANNE
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:JOANNE
Last Name:SALNAVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 WESTBURY CT APT 2I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5627
Mailing Address - Country:US
Mailing Address - Phone:347-500-3439
Mailing Address - Fax:
Practice Address - Street 1:2101 WESTBURY COURT APT 2I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5627
Practice Address - Country:US
Practice Address - Phone:347-500-3439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst