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Individual

DESHAUN BAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
212 S 6TH ST, LINDENHURST, NY 11757-4631
(516) 499-2064

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73349
NY
106S00000X
Behavior Technician

Other

Enumeration date
07/12/2021
Last updated
06/06/2024
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