Individual
MS. ASHLIANN ANNETTE AMICIZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MADISON AVE, NEW YORK, NY 10010-1600
(212) 684-0099
Mailing address
60 MADISON AVE, NEW YORK, NY 10010-1600
(212) 684-0099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
430354101
NY
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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