Individual
MISS NIAZ NASSIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 JANE ST., ROSLYN HTS, NY 11577
(917) 202-5995
Mailing address
20 JANE ST., ROSLYN HTS, NY 11577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001593
NY
174400000X
Specialist
718267131
NY
Other
Enumeration date
08/06/2014
Last updated
10/24/2018
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