Individual
JACQUELINE LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 WAVE PL, EAST NORTHPORT, NY 11731-2835
(631) 767-7660
Mailing address
7 HIGH ST STE 301, HUNTINGTON, NY 11743-3417
(631) 423-7700
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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