Individual
ALIZA SHAMUELOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14711 76TH AVE, APT. 2A, KEW GARDENS HILLS, NY 11367-3154
(646) 503-8443
Mailing address
14711 76TH AVE, APT. 2A, KEW GARDENS HILLS, NY 11367-3154
(646) 503-8443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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