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Individual

KISHANA ONICA APPLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
261 MERRICK ROAD, BELLMORE, NY 11710
(516) 590-7575
Mailing address
1705 WATSON AVE, BRONX, NY 10472-5407
(646) 866-0731

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PB08585Y
NY
Enumeration date
08/17/2021
Last updated
08/17/2021
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