Individual
JILLIAN CAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCSP, BCBA
Contact information
Practice address
13609 68TH DR, UNIT A, KEW GARDENS HILLS, NY 11367-1619
(914) 799-0129
Mailing address
13609 68TH DR, UNIT A, KEW GARDENS HILLS, NY 11367-1619
(914) 799-0129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6349
—
103TS0200X
School Psychologist
1092165
NY
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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