Individual
CASSANDRA NOELLE ELYSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
11836 NASHVILLE BLVD, CAMBRIA HEIGHTS, NY 11411-1920
(347) 676-8433
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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