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Individual

STEPHANIE PERSAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
580 WOODBURY RD, PLAINVIEW, NY 11803-1007
(516) 364-5798
Mailing address
311 BRANCH AVE, FREEPORT, NY 11520-6008
(347) 350-0168

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NY

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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