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Individual

LORI SIMONETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2 ROOSEVELT AVE, SYOSSET, NY 11791-3064
(516) 758-4121
(516) 548-1639
Mailing address
43 OAKWOOD HILLS DR, EAST ISLIP, NY 11730-3603
(631) 766-1887

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/22/2019
Last updated
08/22/2019
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