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Individual

LATISHA SAPARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 LORRAINE LOOP, STATEN ISLAND, NY 10309-1518
(718) 619-1307
Mailing address
110 LORRAINE LOOP, STATEN ISLAND, NY 10309-1518
(718) 619-1307

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
800111124
NY

Other

Enumeration date
12/23/2015
Last updated
12/23/2015
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