Individual
MRS. SAMIRA DERVISEVIC REZIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, BCBA, NYS LBA
Contact information
Practice address
2324 JEROME AVE, BROOKLYN, NY 11235-2801
(718) 646-7410
Mailing address
2324 JEROME AVE, BROOKLYN, NY 11235-2801
(917) 518-4266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002145
NY
174400000X
Specialist
1176658
NY
Other
Enumeration date
06/15/2012
Last updated
09/14/2024
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