Individual
ALAN KINSELLA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3060 36TH ST APT 2F, ASTORIA, NY 11103-4741
(860) 816-4717
Mailing address
3060 36TH ST APT 2F, ASTORIA, NY 11103-4741
(860) 816-4717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001836
NY
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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