Individual
MICHELLE SPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 GENESEE AVE, STATEN ISLAND, NY 10308-1903
(917) 683-0150
Mailing address
165 GENESEE AVE, STATEN ISLAND, NY 10308-1903
(917) 683-0150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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