Individual
JAMIE LASTIHENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAT
Contact information
Practice address
100 W NICHOLAI ST, HICKSVILLE, NY 11801-3887
(151) 678-8547
Mailing address
100 W NICHOLAI ST, HICKSVILLE, NY 11801-3887
(151) 678-8547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
05/24/2022
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