Individual
NUSRAT TAHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 84TH ST, 655 84TH STREET, BROOKLYN, NY 11228-2819
(917) 363-3317
Mailing address
655 84TH ST, 655 84TH STREET, BROOKLYN, NY 11228-2819
(917) 363-3317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930982058
GHI
NY
Enumeration date
11/13/2011
Last updated
11/13/2011
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