Individual
JENNIFER FABRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 PACIFIC ST, MASSAPEQUA PARK, NY 11762-2314
(516) 603-0367
Mailing address
162 PACIFIC ST, MASSAPEQUA PARK, NY 11762-2314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002802
NY
Other
Enumeration date
01/23/2017
Last updated
05/22/2023
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