Individual
ELIZABETH ILA BROWN-BONANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA PSY
Contact information
Practice address
291 MERRYMOUNT ST, STATEN ISLAND, NY 10314-4850
(917) 795-6293
Mailing address
291 MERRYMOUNT ST, STATEN ISLAND, NY 10314-4850
(917) 795-6293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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