| Doctor Name: | JILLIAN CAWLEY |
| NPI Number: | 1679989867 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCSP, BCBA |
| License Number: | 1092165 |
| Business Practice Address: | 13609 68th Dr Unit A Kew Gardens Hills, NY - 113671619 |
| Business Phone Number: | 9147990129 |
| Business Fax Number: | |
| Mailing Address: | 13609 68th Dr, Unit A KEW GARDENS HILLS |
| State: | NY |
| Postal Code: | 113671619 |
| Phone Number: | 9147990129 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2014 |
| NPI Last Update Date: | 07/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 1092165 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |