Individual
LAURA FOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1474 SIDNEY CT, SEAFORD, NY 11783-1855
(516) 510-5148
Mailing address
1474 SIDNEY CT, SEAFORD, NY 11783-1855
(516) 510-5148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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