Individual
KATHLEEN MARY DEPALO-MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SWALLOW LN, HAUPPAUGE, NY 11788-2219
(631) 455-6659
Mailing address
11 SWALLOW LN, HAUPPAUGE, NY 11788-2219
(631) 455-6659
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
479539
NY
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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