Individual
MRS. LIZA E GEONIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED, BCBA
Contact information
Practice address
18A VAN WICKLEN CT, NORTHPORT, NY 11768-2139
(516) 582-4361
Mailing address
18A VAN WICKLEN CT, NORTHPORT, NY 11768-2139
(516) 582-4361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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