Individual
MRS. ELISSA JO MISURACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
348 E 146TH ST, BRONX, NY 10451-5702
(718) 585-0600
Mailing address
105 OLD COUNTRY RD, ELMSFORD, NY 10523-2015
(914) 347-4819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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