Individual
MRS. ASHLEY LAUREN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 WINGAM DR, ISLIP, NY 11751-4110
(631) 680-6556
Mailing address
39 WINGAM DR, ISLIP, NY 11751-4110
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
932306729
GHI
NY
Enumeration date
10/23/2019
Last updated
10/23/2019
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