Individual
SHAZIA KHALIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 VICTORY BLVD, STATEN ISLAND, NY 10314-6613
(718) 215-5311
(718) 865-5165
Mailing address
2535 VICTORY BLVD, STATEN ISLAND, NY 10314-6613
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62914
NY
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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