Individual
DR. ANGELA ATHENA MOUZAKITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D, LBA
Contact information
Practice address
3 FAIRWATER AVE, MASSAPEQUA, NY 11758-8303
(718) 564-5220
Mailing address
3 FAIRWATER AVE, MASSAPEQUA, NY 11758-8303
(718) 564-5220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
974
NY
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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