Individual
ELIZABETH JEAN KAHANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2894 W 8TH ST APT 11B, BROOKLYN, NY 11224-3321
(718) 964-8067
Mailing address
2894 W 8TH ST APT 11B, BROOKLYN, NY 11224-3321
(718) 964-8067
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2838720
NY
252Y00000X
Early Intervention Provider Agency
Primary
2838720
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
464202847
PASSPORT
NY
Enumeration date
01/29/2019
Last updated
01/29/2019
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