Individual
MS. LISA KOZLOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 KENSINGTON LANE, BETHPAGE, NY 11714
(516) 633-1811
Mailing address
420 KENSINGTON LANE, BETHPAGE, NY 11714
(516) 633-1811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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