Individual
DANIELLE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MOHAWK PL, SELDEN, NY 11784-3712
(631) 334-9986
Mailing address
12 MOHAWK PL, SELDEN, NY 11784-3712
(631) 334-9986
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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