Individual
MINIRA OTTIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
27 REGIS DR, STATEN ISLAND, NY 10314-1445
(917) 825-9400
Mailing address
27 REGIS DR, STATEN ISLAND, NY 10314-1445
(917) 825-9400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12044156
NY
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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