Individual
ROXANNE TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 W 35TH ST FL 16, NEW YORK, NY 10001-1907
(718) 728-8476
Mailing address
23 BLOSSOM LN, NEW HYDE PARK, NY 11040-1931
(516) 502-6819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003305-01
NY
Other
Enumeration date
06/07/2023
Last updated
09/26/2025
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