Individual
ANNA MARIE DORELIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, MSED, BCBA
Contact information
Practice address
1887 RICHMOND AVE, 1887 RICHMOND AVE, STATEN ISLAND, NY 10314
(718) 698-1300
(917) 667-8601
Mailing address
1887 RICHMOND AVE, STATEN ISLAND, NY 10314
(718) 698-1300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9021
NY
164W00000X
Licensed Practical Nurse
2314371
NY
174400000X
Specialist
708643
NY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/18/2007
Last updated
11/01/2021
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