Individual
PATRICIA S MEDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
92 SHELL ST, MASSAPEQUA, NY 11758-6834
(516) 557-4699
Mailing address
92 SHELL ST, MASSAPEQUA, NY 11758-6834
(516) 557-4699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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