Individual
LISA O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 LITTLE EAST NECK RD, WEST BABYLON, NY 11704-4624
(631) 678-5115
Mailing address
840 LITTLE EAST NECK RD, WEST BABYLON, NY 11704-4624
(631) 678-5115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
104100000X
Social Worker
—
—
Other
Enumeration date
10/07/2019
Last updated
05/16/2024
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