Individual
JESSICA EBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 CORPORATE DR, HALFMOON, NY 12065-8612
(518) 212-7559
Mailing address
7 CORPORATE DR, HALFMOON, NY 12065-8612
(518) 212-7559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002814
NY
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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