Individual
ALEXIS JOAN OLLENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1698 SPUR DR S, ISLIP, NY 11751-1215
(631) 559-3770
Mailing address
1698 SPUR DR S, ISLIP, NY 11751-1215
(631) 559-3770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
638308121
NY
Other
Enumeration date
02/21/2013
Last updated
08/30/2019
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