Individual
LORI J SPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 GREENHAVEN DR, PORT JEFFERSON STATION, NY 11776-2808
(845) 705-0604
Mailing address
22 GREENHAVEN DR, PORT JEFFERSON STATION, NY 11776-2808
(845) 705-0604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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