Individual
AZAHM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 W 30TH ST FL 9, NEW YORK, NY 10001-3406
(914) 200-3472
Mailing address
1133 WESTCHESTER AVE STE N-230, WHITE PLAINS, NY 10604-3522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
78-P128732-01
NY
174400000X
Specialist
—
—
Other
Enumeration date
12/17/2021
Last updated
12/03/2024
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