Individual
MRS. LAURIE NORDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 3RD ST, EAST NORTHPORT, NY 11731-1812
(863) 514-8195
Mailing address
710 3RD ST, EAST NORTHPORT, NY 11731-1812
(863) 514-8195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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