Individual
ALISA O'BINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCABA
Contact information
Practice address
1001 W SENECA ST, ITHACA, NY 14850-3342
(607) 277-8020
(607) 277-7961
Mailing address
1001 W SENECA ST, ITHACA, NY 14850-3342
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29324009
NY
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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