Individual
LORI MERCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SCOUTING BLVD, MEDFORD, NY 11763-2220
(631) 297-3202
Mailing address
1 SCOUTING BLVD, MEDFORD, NY 11763-2220
(631) 297-3202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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