Individual
HALLIE NICOLE SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 FOSTER RD, LAKE RONKONKOMA, NY 11779-4339
(631) 352-6382
Mailing address
88 FOSTER RD, LAKE RONKONKOMA, NY 11779-4339
(631) 352-6382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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