Individual
JAMIE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2392 LOFT AVE, BALDWIN, NY 11510-3425
(516) 860-6279
Mailing address
2392 LOFT AVE, BALDWIN, NY 11510-3425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001072
NY
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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