Individual
LUISONNA TIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 LAFAYETTE AVE APT 19F, BROOKLYN, NY 11238-1433
(929) 216-7590
Mailing address
433 LAFAYETTE AVE APT 19F, BROOKLYN, NY 11238-1433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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