Individual
FARRAH SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 GARY ST, STATEN ISLAND, NY 10312-1309
(917) 445-1761
Mailing address
71 GARY ST, STATEN ISLAND, NY 10312-1309
(917) 445-1761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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