Individual
EVE ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 NORTHERN BLVD STE 19, GREAT NECK, NY 11021-4802
(516) 829-0030
Mailing address
28 CHARLEYS PLACE, BAYSHORE, NY 11706
(631) 406-3188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
028792
NY
Other
Enumeration date
07/30/2018
Last updated
03/05/2024
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