Individual
MARIE J LOUISJACQUES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 ABBINGTON CT, COPIAGUE, NY 11726-4622
(347) 785-3269
Mailing address
355 ABBINGTON CT, COPIAGUE, NY 11726-4622
(347) 785-3269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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