Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 001625 | NY |
NPI | 1003470857 |
---|---|
Provider Name | Shahad Alsharif |
First Address | New York, NY 10025-7573 |
Second Address | New York, NY 10024-5511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2019 |
Last Update Date | 11/06/2019 |