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Individual

ISHA JENNIFER LAROIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP CCC

Contact information

Practice address
25014 86TH AVE, BELLEROSE, NY 11426-2401
(646) 223-0544
Mailing address
25014 86TH AVE, BELLEROSE, NY 11426-2401
(646) 223-0544

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
235Z00000X
Speech-Language Pathologist
030175
NY

Other

Enumeration date
04/01/2017
Last updated
01/27/2026
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