Individual
CARLENE FALLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
61 ROCKY POINT YAPHANK RD. #60, ROCKY POINT, NY 11778
(631) 278-5462
Mailing address
61 ROCKY POINT YAPHANK RD. #60, ROCKY POINT, NY 11778
(631) 278-5462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000011
NY
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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