Individual
DEBRA MAZZEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD SUITE 202, ACHIEVE BEYOND, MELVILLE, NY 11747-0000
(631) 385-7780
(646) 839-5781
Mailing address
203 EARL ST, EAST WILLISTON, NY 11596-1910
(516) 998-8153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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