Individual
KAYLEEN C CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 ROGERS AVE APT 6, BROOKLYN, NY 11210-1406
(347) 517-9634
Mailing address
1298 ROGERS AVE APT 6, BROOKLYN, NY 11210-1406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/25/2021
Last updated
11/25/2021
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