Individual
LISSETTE MALIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W 42ND ST, NEW YORK, NY 10036-1138
(646) 238-0238
Mailing address
6139 MADISON ST APT 2R, RIDGEWOOD, NY 11385-4000
(646) 238-0238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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