Individual
CASEY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 WILLIS AVE STE 3, WILLISTON PARK, NY 11596-2298
(516) 741-0729
Mailing address
1 FERN DR, COMMACK, NY 11725-4107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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