Individual
JOANN SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E BETHPAGE RD, SUITE 5, PLAINVIEW, NY 11803-4228
(516) 731-5588
(516) 577-9049
Mailing address
18 HUBBELL ST, COMMACK, NY 11725-2028
(631) 499-1762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2224
FL
174400000X
Specialist
—
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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