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Individual
DR. SUZANNAH JOY IADAROLA
Active
Individual
DR. SUZANNAH JOY IADAROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-9692
PA
103TC0700X
Clinical Psychologist
Primary
019833
NY
103TC0700X
Clinical Psychologist
19833
NY
Other
Enumeration date
10/09/2012
Last updated
07/07/2023
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