Lovely Theodore
Lovely Theodore is a Behavior Technician in Melville, New York. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone: (631) 385-7780
Fax: (631) 385-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1528614468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2019 |
| Last updated in NPPES | August 15, 2019 |
| Mailing address | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 |
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