NPI 1558135731

Mashauna S Vailes

Practitioner Assistant Behavior Analyst East Islip, NY

Practice location

Address: 84 W Main St, East Islip, NY 11730-2335
Phone: (631) 229-3443
Mailing address: 85 Union St, Freeport, NY 11520-1220

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1558135731
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2023
Record last updated: 8 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.