Individual
JANNINE SARROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
266 N UTICA AVE, MASSAPEQUA, NY 11758-2146
(516) 721-8011
Mailing address
266 N UTICA AVE, MASSAPEQUA, NY 11758-2146
(516) 721-8011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001294
NY
Other
Enumeration date
09/02/2017
Last updated
07/21/2022
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