Individual
DR. ELIZABETH FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
4300 HYLAN BLVD, LOWER LEVEL, STATEN ISLAND, NY 10312-6505
(718) 605-0642
(718) 984-9620
Mailing address
41 TYLER AVE APT 2204, ISELIN, NJ 08830-2965
(732) 596-1496
(877) 645-1399
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-06-2803
NY
103T00000X
Psychologist
Primary
012367-1
NY
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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