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Individual

JESSICA MANCINI PANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M, ED., BCBA, LBA

Contact information

Practice address
228 BIRCH DR, NEW HYDE PARK, NY 11040-2322
(516) 294-5000
(516) 294-5454
Mailing address
55 CONCORD ST, ROCKVILLE CENTRE, NY 11570-5106
(814) 221-3846

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001749
NY
106S00000X
Behavior Technician

Other

Enumeration date
03/01/2017
Last updated
05/07/2019
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