Ayesha Fazli

NPI #1578274130 in Holbrook, New York

Provider Information

NPI Number: 1578274130
Entity Type: Individual
Name: Ayesha Fazli
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 5, 2022
Last Updated: Dec 5, 2022

Practice Location

Address: 991 MAIN ST
City: Holbrook
State: New York
ZIP Code: 11741-1608
Phone: (631) 438-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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