Most Relevant Information
Provider Data
| NPI Number: | 1003410689 |
| Provider Name: | AILEEN HIGGINS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/24/2020 |
| Last Updated: | 11/24/2020 |
Provider Practice Location
225 BROADHOLLOW RD
MELVILLE
NY
117474822
Practice Location Phone/Fax
| Phone: | 6313857780 |
| Fax: | 6313857795 |
Provider Mailing Location
87 BROAD ST
WILLISTON PARK
NY
115961801
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |