Individual
JESSIE KANOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
135 ARMSTRONG RD, LANSING, NY 14882-8964
(631) 335-8745
Mailing address
135 ARMSTRONG RD, LANSING, NY 14882-8964
(631) 335-8745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000619
NY
Other
Enumeration date
09/03/2014
Last updated
03/11/2015
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