Individual
MISS LISA M. NASOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, MSED
Contact information
Practice address
37 CLINTON AVE APT 2E, ROCKVILLE CENTRE, NY 11570-4005
(516) 712-5810
Mailing address
37 CLINTON AVE APT 2E, ROCKVILLE CENTRE, NY 11570-4005
(516) 712-5810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2524
—
Other
Enumeration date
07/21/2014
Last updated
10/16/2016
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