Individual
CASEY MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 BROOK HILL LN APT B, ROCHESTER, NY 14625-2236
(585) 698-5518
Mailing address
37 BROOK HILL LN APT B, ROCHESTER, NY 14625-2236
(585) 698-5518
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002796
NY
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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