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Individual

MS. LISA BASYA GONTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3591 BEDFORD AVE, BROOKLYN, NY 11210-5236
(917) 930-9480
Mailing address
3591 BEDFORD AVE, BROOKLYN, NY 11210-5236

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004565
NY

Other

Enumeration date
11/10/2025
Last updated
11/10/2025
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