Individual
ALISIA KAZOLEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 QUEENS BLVD, FOREST HILLS, NY 11375-4748
(212) 804-7659
Mailing address
5 CHRISTOPHER ST, SAYREVILLE, NJ 08872-1504
(646) 203-2010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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