Individual
LYNN JOSEPHINE BIJOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6080 JERICHO TPKE STE 200, COMMACK, NY 11725-2808
(631) 864-7770
(631) 864-7773
Mailing address
242 URBAN AVE, WESTBURY, NY 11590-3851
(516) 924-1318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-398501
NY
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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