Individual
KALIE ELLEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MARTHA RD, MONSEY, NY 10952-1406
(845) 327-7111
Mailing address
235 W 63RD ST APT 6F, NEW YORK, NY 10023-6806
(650) 722-6263
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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