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Individual

CHRISTOPHER LOUIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 AUSTIN AVE, AMITYVILLE, NY 11701-3004
(917) 554-2757
Mailing address
10 AUSTIN AVE, AMITYVILLE, NY 11701-3004
(917) 554-2757

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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