Individual
ROSALBA MAISTORU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A.
Contact information
Practice address
6141 76TH ST, MIDDLE VILLAGE, NY 11379-1329
(917) 498-8880
Mailing address
6141 76TH ST, MIDDLE VILLAGE, NY 11379-1329
(917) 498-8880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1031353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113596883
TRICARE
—
Enumeration date
12/08/2011
Last updated
04/13/2018
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