Individual
IVAN CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 W 50TH ST FL 6, NEW YORK, NY 10020-1201
(212) 582-9100
(212) 956-0526
Mailing address
135 W 50TH ST FL 6, NEW YORK, NY 10020-1201
(212) 582-9100
(212) 956-0526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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