Individual
ADAH HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 5TH AVE, BAY SHORE, NY 11706-4153
(631) 665-1900
Mailing address
291 HOLBROOK RD, LAKE RONKONKOMA, NY 11779-1812
(631) 827-1450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003114
NY
Other
Enumeration date
11/06/2023
Last updated
09/23/2024
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