Individual
JESSE VITCHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GARDEN CITY PLZ, SUITE 350, GARDEN CITY, NY 11530-3302
(516) 747-9030
Mailing address
300 GARDEN CITY PLZ, SUITE 350, GARDEN CITY, NY 11530-3302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1119383
NY
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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