JEANNINE MICKULAS

DIX HILLS, NY
NPI1245650407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2014-04-25
Last Update Date2024-02-21
Business Address
JEANNINE MICKULAS
43 ARISTA DR
DIX HILLS, NY 11746-4920
Phone number: 631-683-4393
Mailing Address
JEANNINE MICKULAS
43 ARISTA DR
DIX HILLS, NY 11746-4920
Phone number: 631-683-4393