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Individual

JUSTINE A BANKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2608 GENESEE ST, UTICA, NY 13502-6003
(315) 797-6241
Mailing address
2455 MAIN ST, CLAYVILLE, NY 13322-1101
(315) 794-1307

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12150673
NY

Other

Enumeration date
07/16/2021
Last updated
07/16/2021
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