Individual
JESSIC LANAGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MILLER AVE, FLORAL PARK, NY 11001-3307
(516) 581-2734
Mailing address
1 MILLER AVE, FLORAL PARK, NY 11001-3307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
NY
Enumeration date
03/28/2015
Last updated
03/28/2015
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