Individual
SAMARA RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13318 135TH PL, SOUTH OZONE PARK, NY 11420-3528
(201) 456-4552
Mailing address
13318 135TH PL, SOUTH OZONE PARK, NY 11420-3528
(201) 456-4552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23-289719
NY
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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