Individual
SHELLY RACHEL KHABIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 E 8TH ST, BROOKLYN, NY 11223-3240
(347) 836-3504
Mailing address
1449 37TH ST STE 100, BROOKLYN, NY 11218-4381
(718) 215-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002435
NY
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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