Individual
COURTNEY N PALLOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 385-7780
(631) 385-7795
Mailing address
18 CAROL LN, MASTIC BEACH, NY 11951-2702
(631) 740-4470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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