Individual
JAMIE FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 CARNATION DR, SHIRLEY, NY 11967-1245
(631) 312-4139
Mailing address
465 CARNATION DR, SHIRLEY, NY 11967-1245
(631) 312-4139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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