Individual
GINA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 SUNSET LN, PATCHOGUE, NY 11772-3417
(631) 365-2611
Mailing address
45 SUNSET LN, PATCHOGUE, NY 11772-3417
(631) 365-2611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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