Individual
NICOLE SAMANTHA LIEBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 AVENUE J FL 2, BROOKLYN, NY 11230-3605
(718) 814-7200
Mailing address
113 ELMIRA ST, STATEN ISLAND, NY 10306-4139
(718) 619-9772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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