Individual
LORI LORETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 ROLLING HILL DR, PATCHOGUE, NY 11772-6514
(631) 241-8735
(631) 286-2364
Mailing address
20 ROLLING HILL DR, PATCHOGUE, NY 11772-6514
(631) 241-8735
(631) 286-2364
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
03/06/2022
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