Jackie D'angelo

NPI #1154755932 in East Northport, New York

Provider Information

NPI Number: 1154755932
Entity Type: Individual
Name: Jackie D'angelo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 28, 2013
Last Updated: Aug 28, 2013

Practice Location

Address: 18 CEDAR RD
City: East Northport
State: New York
ZIP Code: 11731-4033
Phone: (631) 807-6821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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