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1740541465
STACEY AGOSTA
COMMACK, NY
NPI
1740541465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
103K00000X Behavior Analyst
(Licence: NY 1118752)
Enumeration Date
2012-05-30
Last Update Date
2012-06-05
Business Address
Miss STACEY AGOSTA MS ED, BCBA
80 HAUPPAUGE RD
COMMACK, NY 11725-4403
Phone number: 631-462-0386
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Mailing Address
Miss STACEY AGOSTA MS ED, BCBA
80 HAUPPAUGE RD
COMMACK, NY 11725-4403
Phone number: 631-462-0386
Copy
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