Individual
JESSICA CACCAMESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
1737 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1529
(631) 479-2900
Mailing address
1737 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1529
(631) 479-2900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001447
NY
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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