Individual
EDDY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
282 N. MIDDLETOWN RD, PEARL RIVER, NY 10965-1096
(833) 334-3254
Mailing address
PO BOX 1197, PEARL RIVER, NY 10965-0597
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103317-01
NY
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
NY
Enumeration date
08/24/2018
Last updated
10/28/2019
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