Individual
ASMA KHATTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 QUAKER PATH, STONY BROOK, NY 11790
(310) 593-3297
Mailing address
90 QUAKER PATH, BACK, STONY BROOK, NY 11790-1337
(310) 593-3297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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