Individual
MEEGAN FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 ELEANOR AVE, MASTIC, NY 11950-5010
(631) 965-7262
(631) 395-2375
Mailing address
45 ELEANOR AVE, MASTIC, NY 11950-5010
(631) 965-7262
(631) 395-2375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1790490
NY
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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