Individual
JENINE VIGARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
119 WHITEWOOD DR, MASSAPEQUA PARK, NY 11762-3931
(516) 672-8701
Mailing address
119 WHITEWOOD DR, MASSAPEQUA PARK, NY 11762-3931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002478
NY
Other
Enumeration date
09/20/2023
Last updated
07/08/2024
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