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Individual

MRS. KELLY BETH FARONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
7 CORPORATE DR, HALFMOON, NY 12065-8612
(518) 212-7559
Mailing address
14 TRYON ST, SCHENECTADY, NY 12302-5817
(678) 977-7840

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000166
NY
103K00000X
Behavior Analyst
166
NY

Other

Enumeration date
08/01/2022
Last updated
07/05/2024
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