Individual
AMBER L VICALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(646) 327-2723
Mailing address
105 BLOOMER RD, MAHOPAC, NY 10541-3710
(914) 588-8013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
08/17/2015
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