Individual
JACQUELINE DEBARTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
475 IRVING AVE, SYRACUSE, NY 13210-1756
(315) 464-6986
Mailing address
475 IRVING AVE, SYRACUSE, NY 13210-1756
(315) 464-6986
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001958
NY
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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