Individual
AMANDA DELVECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 STRAFFORD ST, MASTIC, NY 11950-4510
(631) 317-9358
Mailing address
17 STRAFFORD ST, MASTIC, NY 11950-4510
(631) 317-9358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
A & J BEHAVIORAL HEALTH
NY
Enumeration date
03/26/2019
Last updated
03/26/2019
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