Individual
KAYLA JEAN MARINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-4739
Mailing address
138 SAINT NICHOLAS AVE APT 1R, BROOKLYN, NY 11237-4030
(718) 902-0464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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