Individual
ANDREA PANEBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(646) 569-9847
Mailing address
266 MOTT ST, OCEANSIDE, NY 11572-5518
(516) 673-1184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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