Individual
MRS. ELIZABETH RASULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 SUFFOLK RD, ISLAND PARK, NY 11558-2146
(516) 506-5185
Mailing address
76 SUFFOLK RD, ISLAND PARK, NY 11558-2146
(516) 506-5185
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
A&J BEHAVIORAL HEALTH
NY
Enumeration date
01/07/2022
Last updated
01/07/2022
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