Individual
JACQUELINE CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11631 157TH ST APT 1A, JAMAICA, NY 11434-1637
(929) 468-6103
Mailing address
11631 157TH ST APT 1A, JAMAICA, NY 11434-1637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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