Individual
MRS. JEANNE M. OBERGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
8 COTTAGE DR, MASSAPEQUA, NY 11758-6126
(516) 236-1394
Mailing address
8 COTTAGE DR, MASSAPEQUA, NY 11758-6126
(516) 799-0364
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
225200000X
Physical Therapy Assistant
002774
NY
Other
Enumeration date
11/29/2011
Last updated
12/16/2016
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