Maisha Graham

NPI #1003366584 in Brooklyn, New York

Provider Information

NPI Number: 1003366584
Entity Type: Individual
Name: Maisha Graham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 10, 2016
Last Updated: May 1, 2017

Practice Location

Address: 871 KNICKERBOCKER AVE APT 2F
City: Brooklyn
State: New York
ZIP Code: 11207-1376
Phone: (912) 401-7427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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