Fallon Panetta

NPI #1841724598 in Seaford, New York

Provider Information

NPI Number: 1841724598
Entity Type: Individual
Name: Fallon Panetta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 830 HARRIAD DR W
City: Seaford
State: New York
ZIP Code: 11783-1206
Phone: (917) 796-8642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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