Individual
MAISHA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
871 KNICKERBOCKER AVE APT 2F, BROOKLYN, NY 11207-1376
(912) 401-7427
Mailing address
871 KNICKERBOCKER AVE APT 2F, BROOKLYN, NY 11207-1376
(912) 401-7427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
05/01/2017
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