Jillian Southall

NPI #1548031602 in Ozone Park, New York

Provider Information

NPI Number: 1548031602
Entity Type: Individual
Name: Jillian Southall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 9, 2024
Last Updated: Jan 9, 2024

Practice Location

Address: 10450 102ND ST
City: Ozone Park
State: New York
ZIP Code: 11417-2237
Phone: (646) 377-7721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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