Individual
MRS. JILLIAN M ALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 ROBERT AVE, PORT CHESTER, NY 10573-2213
(914) 374-4351
Mailing address
61 ROBERT AVE, PORT CHESTER, NY 10573-2213
(914) 374-4351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13308
NY
174400000X
Specialist
139770
NY
Other
Enumeration date
06/14/2012
Last updated
09/30/2015
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