Individual
SAMIRA MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 HYNES CT, FARMINGDALE, NY 11735-2259
(516) 531-3673
Mailing address
205 LIDO PKWY, LINDENHURST, NY 11757-6022
(917) 498-0808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-312131
NY
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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