Individual
MS. JAIME DELLIPIZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KATIE DR, MEDFORD, NY 11763-3565
(631) 764-0916
(631) 874-6300
Mailing address
2873 MONTAUK HWY, BROOKHAVEN, NY 11719-9518
(163) 176-4091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420000014634500
—
NY
Enumeration date
09/15/2022
Last updated
09/15/2022
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