Individual
CHRISANNA GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 61ST ST STE 3013, BROOKLYN, NY 11204-2110
(641) 640-0580
Mailing address
1649 61ST ST STE 3013, BROOKLYN, NY 11204-2110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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