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Individual

MS. LORI ESTIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
55 MACON AVE, SAYVILLE, NY 11782-2409
(631) 987-8073
Mailing address
55 MACON AVE, SAYVILLE, NY 11782-2409
(631) 987-8073

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001694
NY

Other

Enumeration date
03/20/2019
Last updated
03/20/2019
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