Individual
KLARA ADOLPHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HILLSIDE AVE, VALLEY STREAM, NY 11580-2517
(516) 554-5042
Mailing address
220 HILLSIDE AVE, VALLEY STREAM, NY 11580-2517
(516) 554-5042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002289
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/12/2013
Last updated
03/25/2024
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