Individual
MS. SARA ILYAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7541 164TH ST, FRESH MEADOWS, NY 11366-1273
(516) 543-6648
Mailing address
9910 67TH AVE, REGO PARK, NY 11374-4514
(646) 714-8224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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