Individual
MRS. SAMANTHA Y DELISCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 ALBEMARLE RD APT 4D, BROOKLYN, NY 11226-4617
(646) 642-8214
Mailing address
1700 ALBEMARLE RD APT 4D, BROOKLYN, NY 11226-4617
(646) 642-8214
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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