Individual
SAMANTHA MARIA CRISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8429 153RD AVE APT 4E, HOWARD BEACH, NY 11414-1953
(347) 671-1611
Mailing address
8429 153RD AVE APT 4E, HOWARD BEACH, NY 11414-1953
(347) 671-1611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43796
NY
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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