Most Relevant Information
Provider Data
| NPI Number: | 1003380056 |
| Provider Name: | ANDREA PANEBIANCO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/13/2019 |
| Last Updated: | 01/13/2019 |
Provider Practice Location
2631 MERRICK RD STE 302
BELLMORE
NY
117105784
Practice Location Phone/Fax
| Phone: | 6465699847 |
| Fax: |
Provider Mailing Location
266 MOTT ST
OCEANSIDE
NY
115725518
Provider Mailing Phone/Fax
| Phone: | 5166731184 |
| Fax: |