Individual
OLIVIA AGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ALBION OVAL, MAHOPAC, NY 10541-3601
(845) 519-4438
Mailing address
5 ALBION OVAL, MAHOPAC, NY 10541-3601
(845) 519-4438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2062196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062196
THERACARE
NY
Enumeration date
11/10/2014
Last updated
11/10/2014
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