Individual
JENNIFER L BRUNNER-CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CRAIG B GARIEPY AVE, ISLIP TERRACE, NY 11752-2820
(516) 236-0413
Mailing address
2 HILL LN, EAST NORTHPORT, NY 11731-2014
(516) 236-0413
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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