Individual
LILIANE DEAGUIAR-ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, L.B.A.
Contact information
Practice address
267 VIOLET ST, MASSAPEQUA PARK, NY 11762-1257
(646) 361-1962
Mailing address
267 VIOLET ST, MASSAPEQUA PARK, NY 11762-1257
(646) 361-1962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000133
NY
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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