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Individual

GRACE PIECHNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
219 CLINTON AVE, EAST PATCHOGUE, NY 11772-6129
(631) 786-1298
Mailing address
219 CLINTON AVE, EAST PATCHOGUE, NY 11772-6129
(631) 786-1298

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002097
NY

Other

Enumeration date
07/25/2016
Last updated
09/28/2023
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