Individual
JACOB AARON SADAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
402 WEST LAKE DRIVE, 25, MONTAUK, NY 11954-5127
(917) 938-8097
Mailing address
402 WEST LAKE DRIVE, 25, MONTAUK, NY 11954-5127
(917) 938-8097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
71000704
NY
Other
Enumeration date
02/23/2015
Last updated
11/24/2020
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