Individual
JASMINE LAREE-ELAINE DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11619 SPRINGFIELD BLVD, APT I2, CAMBRIA HEIGHTS, NY 11411-1550
(917) 226-3331
Mailing address
11619 SPRINGFIELD BLVD, APT I2, CAMBRIA HEIGHTS, NY 11411-1550
(917) 226-3331
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
949257013
NY
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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