Individual
IDA ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 AVENUE M, BROOKLYN, NY 11210-5421
(718) 531-1800
Mailing address
3321 AVENUE M, BROOKLYN, NY 11210-5421
(718) 531-1800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P137647
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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