Individual
MIRANDA C GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 LONG BEACH RD FL 1, OCEANSIDE, NY 11572-5048
(516) 620-5809
Mailing address
3324 LONG BEACH RD FL 1, OCEANSIDE, NY 11572-5048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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