| NPI | 1619314101 |
|---|---|
| Former Name | VANETTA DESANTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-03-1115) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 026443) |
| 103T00000X Psychologist (Licence: NY 026443) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 026443) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 026443) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2025-02-26 |