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Individual

ALYSSA RACIOPPI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
42 TARIFF ST, SAYVILLE, NY 11782-1844
(516) 458-1136
Mailing address
42 TARIFF ST, SAYVILLE, NY 11782-1844
(516) 458-1136

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
890469234
NYSHIP/ EMPIRE
Enumeration date
03/05/2021
Last updated
03/05/2021
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