Individual
MISS ERENI KOULADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
2404 43RD ST, 1R, ASTORIA, NY 11103-2537
(718) 673-1175
Mailing address
2404 43RD ST, 1R, ASTORIA, NY 11103-2537
(718) 673-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
848591141
NY
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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