Individual
FRADEL LIBA KERNKRAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
133 ROUTE 59, MONSEY, NY 10952-3626
(845) 422-8070
Mailing address
11 SADDLE RIVER RD, MONSEY, NY 10952
(845) 608-5355
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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