Individual
JENNIFER MARIE COVELLI-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
460 MIDLAND AVE, STATEN ISLAND, NY 10306-5104
(718) 667-7770
Mailing address
460 MIDLAND AVE, STATEN ISLAND, NY 10306-5104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19151
NY
Other
Enumeration date
07/16/2015
Last updated
05/03/2018
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