Individual
OLIVIA SCIACOVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
99 MAIN ST, SUITE 208, NYACK, NY 10960-3109
(845) 765-0463
Mailing address
PO BOX 900, BEACON, NY 12508-0900
(845) 765-0463
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14415
NY
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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