Individual
LISA SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 FORT WASHINGTON AVE, NEW YORK, NY 10033-4649
(914) 588-0274
Mailing address
447 FORT WASHINGTON AVE, NEW YORK, NY 10033-4649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000596
NY
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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