Individual
IRA KNOBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15-50 212TH ST, BAYSIDE, NY 11360
(718) 423-5952
Mailing address
15-50 212TH ST, BAYSIDE, NY 11360
(718) 423-5952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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