Individual
MRS. AMY E SBLENDORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CAGS, BCBA
Contact information
Practice address
54 DARNELL LN, STATEN ISLAND, NY 10309-1951
(134) 786-0169
Mailing address
54 DARNELL LN, STATEN ISLAND, NY 10309-1951
(134) 786-0169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002417-1
NY
103K00000X
Behavior Analyst
1-096406
NY
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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