Individual
COLLEEN CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
119 ISLAND PKWY N, ISLAND PARK, NY 11558-1329
(516) 761-3602
Mailing address
119 ISLAND PKWY N, ISLAND PARK, NY 11558-1329
(516) 761-3602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
762679
NY
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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