Individual
MARYAM SAFDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
16807 69TH AVE, FRESH MEADOWS, NY 11365-3248
(347) 288-9615
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002396
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/22/2020
Last updated
08/18/2022
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