Individual
TEHILA TAMAIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 E 3RD ST, BROOKLYN, NY 11218-4505
(347) 261-0642
Mailing address
561 E 3RD ST, BROOKLYN, NY 11218-4505
(347) 261-0642
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1309962191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74334905400
—
NY
Enumeration date
04/10/2019
Last updated
04/10/2019
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