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1366868218
BRIAN CONNELLY
SHOREHAM, NY
NPI
1366868218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
273R00000X Psychiatric Unit
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- BRIAN CONNELLY CTRS
27 CHERYL DR
SHOREHAM, NY 11786-2356
Phone number: 631-849-4442
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Mailing Address
-- BRIAN CONNELLY CTRS
27 CHERYL DR
SHOREHAM, NY 11786-2356
Phone number:
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