Individual
MS. MAUREEN E BANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
212 DANBURY DR # 2, SYRACUSE, NY 13219-1706
(315) 488-0198
Mailing address
212 DANBURY DR, SYRACUSE, NY 13219-1706
(315) 447-7360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
09/10/2012
Last updated
04/24/2020
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