Individual
IYEO ANJELO NAGUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, RBT
Contact information
Practice address
248 RIVIERA DR W, MASSAPEQUA, NY 11758-8523
(631) 954-2657
Mailing address
248 RIVIERA DR W, MASSAPEQUA, NY 11758-8523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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