Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1023575321 |
---|---|
Provider Name | Tamilla Ashirova |
First Address | Brooklyn, NY 11235-7062 |
Second Address | Brooklyn, NY 11229-1484 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2019 |
Last Update Date | 26/02/2019 |