Individual
ANANYA SAMPREETH RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(212) 481-4040
Mailing address
68 LAKE SHORE DR, PARSIPPANY, NJ 07054-3941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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