Individual
GINA MARIE HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 POWELL CT, NORTH BABYLON, NY 11703-3914
(631) 893-9151
(631) 893-9151
Mailing address
64 POWELL CT, NORTH BABYLON, NY 11703-3914
(631) 893-9151
(631) 893-9151
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
001270-1
NY
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
04/09/2009
Last updated
07/21/2022
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