Individual
JESSICA ANN MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, BCBA, LBA
Contact information
Practice address
460 MIDLAND AVE, STATEN ISLAND, NY 10306-5104
(917) 589-6849
Mailing address
18 SHERIDAN PL, STATEN ISLAND, NY 10312-3619
(917) 589-6849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001202-1
NY
174400000X
Specialist
—
NY
Other
Enumeration date
05/17/2013
Last updated
08/21/2019
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