Individual
KADDEGRA MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 E MAIN ST, PATCHOGUE, NY 11772-3121
(631) 730-8828
Mailing address
105 S 26TH ST, WYANDANCH, NY 11798-2802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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