Individual
JENNA EVARTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MERRICK RD STE 202, BELLMORE, NY 11710-5784
(646) 741-3748
Mailing address
31 DUCK LN, WEST ISLIP, NY 11795-5037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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