Individual
MS. NAZIRAH JAMEELAH SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ST. NICHOLAS AVE, APT#8 N, NEW YORK, NY 10027
(917) 674-6679
Mailing address
400 SAINT NICHOLAS AVE, APT#8 N, NEW YORK, NY 10027-7620
(917) 674-6679
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2288994
NY
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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