Individual
CARISSA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, BCBA, LBA
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
1219 4TH AVE, WATERVLIET, NY 12189-3308
(315) 806-2555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001412
NY
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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