Individual
LISA MARIE ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MARIE LN, CORAM, NY 11727-4017
(631) 846-6334
Mailing address
7 MARIE LN, CORAM, NY 11727-4017
(631) 846-6334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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