Individual
DESHANTI T DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CRAIG AVE, FREEPORT, NY 11520-1503
(516) 728-0783
Mailing address
121 CRAIG AVE, FREEPORT, NY 11520-1503
(516) 728-0783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
09/23/2025
Last updated
09/24/2025
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