Individual
SAMIRA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(914) 262-9304
Mailing address
18 PINE DR, GREAT NECK, NY 11021-2830
(914) 262-9304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002393
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/08/2018
Last updated
08/21/2022
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