Individual
MICHELLE FUZAYLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21230 23RD AVE, BAYSIDE, NY 11360-1535
(917) 292-4450
Mailing address
21230 23RD AVE, BAYSIDE, NY 11360-1535
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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