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Individual

BONNIE LINNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
500 PECONIC ST, APT 195A, RONKONKOMA, NY 11779-7100
(631) 295-6333
Mailing address
500 PECONIC ST, APT 195A, RONKONKOMA, NY 11779-7100
(631) 295-6333

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/28/2016
Last updated
12/28/2016
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