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Individual

JESSICA-LYN BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1118
(631) 489-7088
Mailing address
91 TULIP AVE APT HC 4, FLORAL PARK, NY 11001-1977
(516) 526-7088

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002207-01
NY

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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