Individual
ELLIE MARIE PICHARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
16 LAGRANGE RD, CAMPBELL HALL, NY 10916-2229
(845) 800-8550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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