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Individual

CORRIE L LIFFLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
1187 ROUTE 35, SOUTH SALEM, NY 10590-1434
(845) 901-7143
Mailing address
1187 ROUTE 35, SOUTH SALEM, NY 10590-1434
(845) 901-7143

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
001615
NY
103K00000X
Behavior Analyst
0133001901
VA
103K00000X
Behavior Analyst
1101
CT
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/10/2017
Last updated
03/25/2021
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