Individual
LOUISE CHIARULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 TERRY RD, SMITHTOWN, NY 11787-3811
(631) 965-1797
Mailing address
28 BARKER DR, STONY BROOK, NY 11790-2534
(631) 965-1797
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000108
NY
Other
Enumeration date
08/28/2012
Last updated
04/30/2017
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