Individual
MRS. JOELLEN DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 W MAIN ST, EAST ISLIP, NY 11730-2335
(631) 229-3443
Mailing address
185 COUNTRY VILLAGE LN, EAST ISLIP, NY 11730-3705
(631) 357-1081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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