Individual
JAKE DIEGO FURNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4250 SUNRISE HWY STE 106, MASSAPEQUA, NY 11758-5352
(516) 640-0798
Mailing address
47 WANDER LN, WANTAGH, NY 11793-1302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004007
NY
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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