Individual
DENISE COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ETHAN ALLEN CT, SOUTH SETAUKET, NY 11720-4609
(631) 676-3046
Mailing address
4 ETHAN ALLEN CT, SOUTH SETAUKET, NY 11720-4609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
NY
Other
Enumeration date
06/07/2012
Last updated
10/04/2012
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