Individual
ISHANNA ALERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 DUMONT AVE APT 6G, BROOKLYN, NY 11212-6128
(347) 206-2316
Mailing address
300 DUMONT AVE APT 6G, BROOKLYN, NY 11212-6128
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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