Individual
CAMILLE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ABA, RBT
Contact information
Practice address
6080 JERICHO TPKE, COMMACK, NY 11725-2850
(631) 383-6520
Mailing address
354 NEW JERSEY AVE, BAY SHORE, NY 11706-3302
(631) 383-6520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461039
DRIVING LICENSE
NY
Enumeration date
10/04/2019
Last updated
10/04/2019
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