Individual
MRS. ADRIENNE M MAVIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
60 ERIE ST STE 304, #6, GOSHEN, NY 10924-1531
(845) 294-1882
(888) 257-0103
Mailing address
7 COLT CT, GOSHEN, NY 10924-1201
(845) 294-1882
(888) 257-0103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6391
NY
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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