Individual
LAUREN VARRICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 GOSHEN TPKE, MIDDLETOWN, NY 10941-4031
(845) 360-5744
Mailing address
824 BAY SHORE AVE, WEST ISLIP, NY 11795-1538
(516) 835-9942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51739
NY
174400000X
Specialist
484070101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
TEACHER
NY
Enumeration date
06/13/2012
Last updated
02/17/2024
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