Individual
JENNIFER WEILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2707 HYLAN BLVD, STATEN ISLAND, NY 10306-4657
(718) 851-3300
Mailing address
291B SIGNS RD, STATEN ISLAND, NY 10314-3806
(347) 324-0275
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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