Individual
RAIZY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5824A 12TH AVE, BROOKLYN, NY 11219-4513
(917) 923-8205
Mailing address
4515 12TH AVE APT D7, BROOKLYN, NY 11219-2006
(917) 923-8205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003882
NY
Other
Enumeration date
08/23/2022
Last updated
11/26/2024
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