Individual
MS. JAMIE LORRAINE REALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPECIAL EDUCATION
Contact information
Practice address
116 W 32ND ST, NEW YORK, NY 10001-3212
(212) 564-2350
Mailing address
15 SALAMANDER CT, STATEN ISLAND, NY 10309-1930
(347) 630-7067
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1768311
NY
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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