Individual
MRS. REGINA CORNELIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
405 2ND AVE, MASSAPEQUA PARK, NY 11762-1500
(203) 918-2225
Mailing address
405 2ND AVE, MASSAPEQUA PARK, NY 11762-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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