Individual
KATHLEEN PARONICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LAMOKA AVE, STATEN ISLAND, NY 10308-2025
(646) 315-4108
Mailing address
4 LAMOKA AVE, STATEN ISLAND, NY 10308-2025
(646) 315-4108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1227858181
NY
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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