Individual
MINDY JEANNE CASSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
1737 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1529
(631) 872-6435
Mailing address
27 RUTH PL, NORTH BABYLON, NY 11703-4912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
71000611
NY
Other
Enumeration date
01/16/2015
Last updated
07/03/2017
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