Individual
JESSICA MARIE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 33RD ST STE 500, ASTORIA, NY 11106-2329
(212) 529-9780
Mailing address
9401 64TH RD APT 1L, REGO PARK, NY 11374-3008
(917) 860-4908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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