Individual
JOAN IANNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2459 LEFFERTS PL, BELLMORE, NY 11710
(516) 491-1149
Mailing address
2459 LEFFERTS PL, BELLMORE, NY 11710-4418
(516) 491-1149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000561-1
NY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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