Individual
FRIDA BALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(212) 481-4040
Mailing address
1865 77TH ST APT B9, BROOKLYN, NY 11214-1276
(929) 256-0090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58231
NY
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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