Individual
MS. MASHAUNA S VAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 W MAIN ST, EAST ISLIP, NY 11730-2335
(631) 229-3443
Mailing address
85 UNION ST, FREEPORT, NY 11520-1220
(347) 859-6305
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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