Individual
ERIN KATHLEEN BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 OAK ST, LAKE GROVE, NY 11755-2930
(631) 467-0769
Mailing address
16 OAK ST, LAKE GROVE, NY 11755-2930
(631) 467-0769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00791-01
NY
Other
Enumeration date
02/01/2007
Last updated
04/22/2024
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