Individual
GUFRAN USMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 WEBSTER AVE APT 15F, BRONX, NY 10456-1845
(929) 239-8809
Mailing address
1428 WEBSTER AVE APT 15F, BRONX, NY 10456-1845
(929) 239-8809
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100192467
—
NY
05
—
NV38823E
—
NY
Enumeration date
04/24/2018
Last updated
06/16/2018
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