Individual
KEYLA QUEBRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13121 131ST ST, SOUTH OZONE PARK, NY 11420-3412
(347) 971-7069
Mailing address
13121 131ST ST, SOUTH OZONE PARK, NY 11420-3412
(347) 971-7069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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