Individual
DENISE M NOVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
41 PINEWOOD DR, COMMACK, NY 11725-5612
(631) 418-7008
Mailing address
41 PINEWOOD DR, COMMACK, NY 11725-5612
(631) 418-7008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002211
NY
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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