Individual
JACK HARRISON DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 OGDEN AVE, WHITE PLAINS, NY 10605-2324
(914) 522-0994
Mailing address
35 OGDEN AVE, WHITE PLAINS, NY 10605-2324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
254857349
NY
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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