Individual
KERRI-ANN O'HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
112 CAMBRIDGE AVE, STEWART MANOR, NY 11530-5046
(917) 691-0156
Mailing address
112 CAMBRIDGE AVE, STEWART MANOR, NY 11530-5046
(917) 691-0156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9598
NY
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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