Individual
RINA-BERACHA FAKHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16110 UNION TPKE STE 2, FRESH MEADOWS, NY 11366-1981
(718) 298-2107
Mailing address
8 DEVONSHIRE LN, GREAT NECK, NY 11023-1338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003119
NY
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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