Individual
JEANNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 OHIO AVE, LONG BEACH, NY 11561-1128
(516) 262-2107
Mailing address
102 OHIO AVE, LONG BEACH, NY 11561-1128
(516) 262-2107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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