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Individual

KAHL WEIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
176 ASHWORTH AVE, STATEN ISLAND, NY 10314-4900
(917) 975-1968
Mailing address
176 ASHWORTH AVE, STATEN ISLAND, NY 10314-4900
(917) 975-1968

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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