Individual
JESSICA LOUISA MAURO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 BELMILL RD, BELLMORE, NY 11710-4512
(516) 244-9169
Mailing address
2619 BELMILL RD, BELLMORE, NY 11710-4512
(516) 244-9169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
NY
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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