Individual
PRAJNA AMITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 QUIMBY AVE, BRONX, NY 10473-1333
(917) 201-1877
Mailing address
2124 QUIMBY AVE, BRONX, NY 10473-1333
(917) 201-1877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS08418K
—
NY
Enumeration date
07/21/2021
Last updated
07/21/2021
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