Individual
MS. JESSICA BLAMOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
19423 112TH AVE, SAINT ALBANS, NY 11412-2022
(929) 216-1762
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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