Individual
BRETT STEVEN DEVERGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(646) 475-3595
Mailing address
90 BAISLEY AVE, EAST ROCKAWAY, NY 11518-1819
(413) 822-2945
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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