Individual
NANA RUSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
59-45 161ST ST. FRESH MEADOWS, NEW YORK, NY 11365
(718) 395-4522
Mailing address
329 W 76TH ST APT 3B, NEW YORK, NY 10023-8062
(646) 573-2524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
963276
NY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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