# KIMBERLY M PERSAUD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053078444
- **Gender:** F
- **Credential:** DBA,MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NY | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NY | — |
| 103TC1900X | Counseling Psychologist | — | NY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NY | — |
| 103TF0000X | Family Psychologist | — | NY | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NY | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251B00000X | Case Management Agency | — | NY | — |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 11/21/2021
- **Last updated:** 08/15/2023