Individual
SHOBA BHARRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2172 JERICHO TPKE, NEW HYDE PARK, NY 11040-4722
(631) 827-9189
Mailing address
1017 CALIFORNIA PL S, ISLAND PARK, NY 11558-2201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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