Individual
JASON RICHARD SLOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 VEGA DR, SHOREHAM, NY 11786-2305
(631) 599-6175
Mailing address
6 VEGA DR, SHOREHAM, NY 11786-2305
(631) 599-6175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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