Individual
LAUREN SHADY MIZRAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 WENWOOD DR, GLEN HEAD, NY 11545-3128
(516) 723-9034
Mailing address
11035 JEWEL AVE, FOREST HILLS, NY 11375-3957
(347) 384-8562
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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