Individual
JESSICA LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
160 E MAIN ST, HUNTINGTON, NY 11743-7400
(631) 659-3338
Mailing address
278 PIPE STAVE HOLLOW RD, MOUNT SINAI, NY 11766-1938
(631) 828-1721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
559404663
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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