Individual
JACLYN CINQUEMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
54 W MADISON ST, EAST ISLIP, NY 11730-1149
(631) 901-6778
Mailing address
54 W MADISON ST, EAST ISLIP, NY 11730-1149
(631) 901-6778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001269-1
NY
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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