Individual
JULIE ZEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1517 FRANKLIN AVE, MINEOLA, NY 11501-4804
(516) 355-9400
Mailing address
124 WOOLSEY AVE, GLEN COVE, NY 11542-1808
(516) 805-4083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001953-01
NY
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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