Individual
DEBORAH ANN GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
PUTNAM HALL SOUTH CAMPUS, STONY BROOK, NY 11746-8790
(631) 632-2428
Mailing address
23 HIGHFIELD DR, DIX HILLS, NY 11746-5748
(516) 524-0402
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000210-1
NY
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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