Individual
MILANA SHIMUNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
112-24 68TH AVENUE, FOREST HILLS, NY 11375
(917) 340-2992
Mailing address
11224 68TH AVE, FOREST HILLS, NY 11375-2938
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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