Individual
KIMBERLY HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 BELMORE AVE, ISLIP TERRACE, NY 11752-1715
(516) 695-5715
Mailing address
723 BELMORE AVE, ISLIP TERRACE, NY 11752-1715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000499
NY
Other
Enumeration date
06/19/2012
Last updated
01/09/2018
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