Individual
MR. AHMED BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 SAND LN, STATEN ISLAND, NY 10305-4592
(646) 468-9916
Mailing address
259 SAND LN, STATEN ISLAND, NY 10305-4592
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
103K00000X
—
Enumeration date
03/21/2022
Last updated
03/21/2022
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