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Individual

JENNIFER R HEANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED, BCBA, LBA

Contact information

Practice address
8 FOXBORO RD, HAMPTON BAYS, NY 11946-3810
(631) 591-1682
Mailing address
8 FOXBORO RD, HAMPTON BAYS, NY 11946-3810
(631) 591-1682

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000957
NY
174400000X
Specialist
433260101
NY
174400000X
Specialist
493706111
NY

Other

Enumeration date
01/13/2013
Last updated
06/07/2023
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