Individual
MRS. OLIVIA CENNAME-POLICARPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
27 TRUVAL LN, NESCONSET, NY 11767-2228
(631) 255-2485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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