Individual
MS. SHRUTI RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A- BCBA-NYSLBA
Contact information
Practice address
407 ATLANTIC AVE, BROOKLYN, NY 11217-1702
(646) 425-4725
Mailing address
407 ATLANTIC AVE, BROOKLYN, NY 11217-1702
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000283
NY
174400000X
Specialist
—
—
Other
Enumeration date
03/29/2013
Last updated
04/11/2024
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