Individual
LAUREN STAUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1529
(631) 806-6969
Mailing address
164 STANLEY DR, CENTEREACH, NY 11720-2224
(631) 664-0093
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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