Individual
MOAJZA SHAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST # 200, FOREST HILLS, NY 11375-1022
(347) 459-3416
Mailing address
8616 60TH AVE APT 3J, ELMHURST, NY 11373-5510
(347) 459-3416
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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