Individual
JESSICA R GAYVORONSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 5TH AVE, NEW YORK, NY 10118-0110
(516) 308-4966
Mailing address
40 E MACON AVE, STATEN ISLAND, NY 10308-1315
(929) 238-2460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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