Individual
JULIE DUENGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BAYVIEW ST W, MASSAPEQUA, NY 11758-7422
(516) 503-0929
Mailing address
21 BAYVIEW ST W, MASSAPEQUA, NY 11758-7422
(516) 503-0929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8805
NY
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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