Individual
QUINN MAHANNAH CEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 EAST FAYETTE STREET, SYRACUSE, NY 13210
(315) 732-3431
Mailing address
753 CENTER ST, CLEVELAND, NY 13042-2144
(315) 460-0666
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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