Individual
CHRISTINE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2985 CHERYL RD, MERRICK, NY 11566-5402
(516) 298-0922
Mailing address
2985 CHERYL RD, MERRICK, NY 11566-5402
(516) 298-0922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001272
NY
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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