Individual
MRS. OLIVIA GRAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA, LBA-NY
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(516) 747-9030
Mailing address
171 EARL PL N, EAST MEADOW, NY 11554-3445
(917) 731-8971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16948
NY
174400000X
Specialist
—
NY
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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