Most Relevant Information
Provider Data
| NPI Number: | 1003266800 |
| Provider Name: | ALYSSA RESNICK M.A., BCBA, LBA-NY |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 1039892161 |
Most Important Dates
| Enumeration Date: | 06/13/2016 |
| Last Updated: | 12/02/2019 |
Provider Practice Location
41 PARK AVE APT 11E
NEW YORK
NY
100163485
Practice Location Phone/Fax
| Phone: | 5168804003 |
| Fax: |
Provider Mailing Location
41 PARK AVE APT 11E
NEW YORK
NY
100163485
Provider Mailing Phone/Fax
| Phone: | 5168804003 |
| Fax: |