Individual
MARIA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
750 VETERANS MEMORIAL HWY STE 100, HAUPPAUGE, NY 11788-2943
(516) 284-1090
Mailing address
750 VETERANS MEMORIAL HWY STE 100, HAUPPAUGE, NY 11788-2943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002558
NY
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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