Individual
AYESHA KHATRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HAWTHORNE AVE APT SUITE, RONKONKOMA, NY 11779-5912
(631) 568-1589
Mailing address
81 HAWTHORNE AVE APT SUITE, RONKONKOMA, NY 11779-5912
(631) 568-1589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
640-956-841
NY
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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