Organization
ISLAND INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH J BARONE BCBA (PRESIDENT)
(631) 521-3548
Entity
Organization
Contact information
Practice address
106 SPRINGDALE DR, RONKONKOMA, NY 11779-5934
(631) 521-3548
Mailing address
106 SPRINGDALE DR, RONKONKOMA, NY 11779
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
122482175
NY
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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