Individual
JACQUELINE A RIDDLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 E CHERRY ST, CENTRAL ISLIP, NY 11722-3849
(631) 882-0572
Mailing address
21 E CHERRY ST, CENTRAL ISLIP, NY 11722-3849
(631) 882-0572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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