Individual
DAKOTA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(646) 490-4198
Mailing address
5 SUN VALLEY LN, BELLPORT, NY 11713-1139
(631) 388-1211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002849-01
NY
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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