Individual
MS. ATIYA SONIQUE BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
160-07 129TH AVENUE, JAMAICA, NY 11434
(917) 418-9029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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