Individual
LISA BRIENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 E BEDELL ST, FREEPORT, NY 11520-5723
(516) 241-3515
Mailing address
60 E BEDELL ST, FREEPORT, NY 11520-5723
(516) 241-3515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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