Individual
ANI EMENOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 ILYSSA WAY, STATEN ISLAND, NY 10312-1377
(917) 640-4536
Mailing address
703 ILYSSA WAY, STATEN ISLAND, NY 10312-1377
(917) 640-4536
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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