Individual
MRS. JACLYN A GUGLIELMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16482 WHEATLEY CT, FORTVILLE, IN 46040-8903
(914) 438-5731
Mailing address
16482 WHEATLEY CT, FORTVILLE, IN 46040-8903
(914) 438-5731
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000442-1
NY
Other
Enumeration date
04/12/2015
Last updated
10/25/2021
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