Individual
AKILAH PINNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 N 10TH ST, WYANDANCH, NY 11798-2401
(631) 372-9071
Mailing address
15 N 10TH ST, WYANDANCH, NY 11798-2401
(631) 372-9071
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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