Individual
MAYDA LIDIA VILLATORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
491 AMERICAN BLVD, BRENTWOOD, NY 11717-5619
(516) 504-5614
Mailing address
491 AMERICAN BLVD, BRENTWOOD, NY 11717-5619
(516) 504-5614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
254529967316
NY
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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