Individual
JAIMIE SARUBBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
226 CHICHESTER AVE, CENTER MORICHES, NY 11934-2000
(631) 375-6003
Mailing address
110 LAKEVIEW DR, MASTIC BEACH, NY 11951-3120
(631) 871-6278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001239
NY
Other
Enumeration date
09/01/2016
Last updated
06/27/2023
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