Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-16-23964 | NY |
NPI | 1003266800 |
---|---|
Provider Name | Alyssa Resnick |
First Address | New York, NY 10016-3485 |
Second Address | New York, NY 10016-3485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2016 |
Last Update Date | 02/12/2019 |