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Individual

JACLYN LEIGH STEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
509 LAKE DR, MEDFORD, NY 11763-4608
(516) 695-1367

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001552
NY

Other

Enumeration date
07/08/2018
Last updated
07/08/2018
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