Individual
MARY ANNE PAVLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2211 JACKSON PL, NORTH BELLMORE, NY 11710-1147
(516) 785-0595
Mailing address
2211 JACKSON PL, NORTH BELLMORE, NY 11710-1147
(516) 785-0595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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