Individual
MRS. LISA BLUMENFELD LA FATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2950 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1383
(516) 796-0989
(516) 731-0813
Mailing address
2950 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1383
(516) 796-0989
(516) 731-0813
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
740983
NY
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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