Individual
COLLEEN KOCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
316 W CHESTER ST, LONG BEACH, NY 11561-1804
(516) 589-3453
Mailing address
316 W CHESTER ST, LONG BEACH, NY 11561-1804
(516) 589-3453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000840
NY
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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