Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lirose Supreme-Edouard, BSBEHAVIORSCIENCE

Individual provider Case Manager/Care Coordinator · NPI 1255849857

Lirose Supreme-Edouard, BSBEHAVIORSCIENCE is a Case Manager/Care Coordinator in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

391 E 149th St
Bronx, NY 10455-3907
Phone: (718) 676-9491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (NY)

Record details

NPI number1255849857
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSBEHAVIORSCIENCE
Sole proprietorYes
NPI enumeratedJanuary 17, 2018
Last updated in NPPESJanuary 17, 2018

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