Individual
JESSICA AGHAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA LBA
Contact information
Practice address
7025 169TH ST, FRESH MEADOWS, NY 11365-3326
(347) 239-5080
Mailing address
7025 169TH ST, FRESH MEADOWS, NY 11365-3326
(347) 239-5080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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