Individual
AMANDA GAINSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 OSWEGO ST, STATEN ISLAND, NY 10301-4237
(718) 608-5813
Mailing address
63 OSWEGO ST, STATEN ISLAND, NY 10301-4237
(718) 608-5813
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1490488211
NY
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
About Stedi
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