Individual
JENNIFER CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
991 MAIN ST STE 100, HOLBROOK, NY 11741-1608
(631) 676-5645
Mailing address
152 E LAKEWOOD ST, PATCHOGUE, NY 11772-2943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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