Individual
NATALIE KHAIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8509 RADNOR ST, JAMAICA ESTATES, NY 11432-2325
(917) 476-0380
Mailing address
8509 RADNOR ST, JAMAICA ESTATES, NY 11432-2325
(917) 476-0380
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1908620251
NY
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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