Individual
FABIHA MIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 DITMARS BLVD, ASTORIA, NY 11105-3416
(718) 721-6410
Mailing address
248 E 49TH ST APT 1B, NEW YORK, NY 10017-1551
(646) 780-9227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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