Individual
JENNIFER FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 ELM DR, NEW HYDE PARK, NY 11040-3347
(516) 510-0854
Mailing address
538 BROADHOLLOW RD, UNIT 202, MELVILLE, NY 11747-3676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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