Individual
JESSICA FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 EASTLAKE AVE, MASSAPEQUA PARK, NY 11762-1836
(954) 701-9034
Mailing address
1820 SW 36TH AVE, FORT LAUDERDALE, FL 33312-3631
(954) 701-9034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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