Individual
LAURA KWASNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 STATE ROUTE 101 STE 11, BEDFORD, NH 03110-5031
(603) 471-2522
Mailing address
535 8TH AVE FL 9, NEW YORK, NY 10018-2486
(603) 471-2522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/27/2013
Last updated
12/02/2022
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