Individual
HANESHA PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
(212) 679-7867
Mailing address
19 CYPRESS CT, BROOKLYN, NY 11208-1518
(347) 645-4563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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