Individual
MRS. ERIN DICESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
20 FLINTON RUN, CHURCHVILLE, NY 14428-9651
(585) 749-7415
Mailing address
20 FLINTON RUN, CHURCHVILLE, NY 14428-9651
(585) 749-7415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000009
NY
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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