Individual
CHRISTINE HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 TIMBERLINE DR, BRENTWOOD, NY 11717-5712
(631) 553-3534
Mailing address
113 TIMBERLINE DR, BRENTWOOD, NY 11717-5712
(631) 553-3534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/15/2016
Last updated
03/18/2024
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