Individual
EMILY BAISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 JERICHO TPKE STE 200, COMMACK, NY 11725-2808
(631) 864-7770
Mailing address
15 ELEANOR DR, MASSAPEQUA, NY 11758-1005
(347) 280-7415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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