Individual
KATARZYNA GOZDZIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, BCBA, LBA
Contact information
Practice address
594 CENTRE AVE, LINDENHURST, NY 11757-3113
(631) 704-9145
Mailing address
594 CENTRE AVE, LINDENHURST, NY 11757-3113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001067
NY
174400000X
Specialist
1103378
NY
Other
Enumeration date
06/24/2012
Last updated
05/16/2017
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