Individual
MISS KONSTANTINA KOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
225 BROADHOLLOW RD, MELVILLE, NY 11747-4822
(631) 385-7780
Mailing address
14 FROSTFIELD PLACE, MELVILLE, NY 11747-1609
(631) 912-7350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002349
NY
103K00000X
Behavior Analyst
1-22-57551
NY
Other
Enumeration date
01/26/2018
Last updated
07/22/2022
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