Doreen Ivory

NPI #1386283398 in Hauppauge, New York

Provider Information

NPI Number: 1386283398
Entity Type: Individual
Name: Doreen Ivory
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 21 S DORADO CIR APT 2H
City: Hauppauge
State: New York
ZIP Code: 11788-4796
Phone: (718) 440-0685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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