Individual
KIMBERLY M FEQUIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 LIBERTY AVE, NORTH BABYLON, NY 11703-5402
(516) 347-8832
Mailing address
110 LIBERTY AVE, NORTH BABYLON, NY 11703-5402
(516) 347-8832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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