Individual
MARY-EILEEN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED./SAS, LBA
Contact information
Practice address
1400 OLD COUNTRY RD STE C102N, WESTBURY, NY 11590-5156
(516) 806-6969
Mailing address
90 9TH AVE, KINGS PARK, NY 11754-4315
(631) 804-7047
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000240
NY
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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