Individual
KATHRYN REKSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
479 BRADLEY RD, BAY VILLAGE, OH 44140-1645
(516) 319-0480
Mailing address
479 BRADLEY RD, BAY VILLAGE, OH 44140-1645
(516) 319-0480
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-106083
BCBA
—
Enumeration date
11/13/2019
Last updated
11/13/2019
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