Individual
MS. ELYSE DANIELLE MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 PARK AVE, HUNTINGTON, NY 11743-4547
(631) 987-8483
Mailing address
920 PARK AVE, HUNTINGTON, NY 11743-4547
(631) 987-8483
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000440-1
NY
174400000X
Specialist
2131480
NY
Other
Enumeration date
06/08/2012
Last updated
04/09/2015
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