Individual
JUSTINA FISCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1118
(484) 965-9966
(484) 231-8631
Mailing address
200 N WARNER RD STE 210, KING OF PRUSSIA, PA 19406-2842
(484) 965-9966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002040
NY
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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