Individual
KAILA BANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7795
Mailing address
9129 183RD ST, JAMAICA, NY 11423-2330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/10/2020
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