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1659776318
JOHN INNIS
SMITHTOWN, NY
NPI
1659776318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NY 000089)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
Mr. JOHN INNIS BCBA
52 BROADWAY
SMITHTOWN, NY 11787-4602
Phone number: 516-319-2773
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Mailing Address
Mr. JOHN INNIS BCBA
52 BROADWAY
SMITHTOWN, NY 11787-4602
Phone number: 516-319-2773
Copy
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