Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | 2838720 | NY |
NPI | 1003370594 |
---|---|
Provider Name | Elizabeth Jean Kahany |
First Address | Brooklyn, NY 11224-3321 |
Second Address | Brooklyn, NY 11224-3321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2019 |
Last Update Date | 29/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
464202847 | PASSPORT (01) | NY |