Individual
LISA M MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
4150 ALDRICH LN, LAUREL, NY 11948-1017
(585) 610-9911
Mailing address
PO BOX 249, MATTITUCK, NY 11952-0249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000031-1
NY
103K00000X
Behavior Analyst
Primary
1-04-1964
FL
Other
Enumeration date
06/25/2012
Last updated
01/05/2017
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