Individual
BLAISE VALENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 W MAIN ST, EAST ISLIP, NY 11730
(631) 229-3443
Mailing address
42 LOUISIANA AVE, BAY SHORE, NY 11706-4413
(631) 601-9529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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