Individual
MOLLIE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 UNION AVE, CENTER MORICHES, NY 11934-3324
(631) 599-0500
Mailing address
42 UNION AVE, CENTER MORICHES, NY 11934-3324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75330
NY
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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