Individual
MAYERLIN DELOSSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PAINE ST., LINDENHURST, NY 11757
(631) 813-5405
Mailing address
81 PAINE ST, LINDENHURST, NY 11757-1231
(631) 813-5405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
BEHAVIORAL HEALTH AND SOCIAL SERVICE PROVIDER
NY
Enumeration date
06/28/2016
Last updated
06/28/2016
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