Individual
MS. KATE PRUKALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
210 BELLEFONTE AVE, WILMINGTON, DE 19809-2502
(302) 762-2636
Mailing address
20 ALLISON LN, NEWARK, DE 19711-2607
(845) 428-1229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24645
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-24645
BEHAVIOR ANALYST CERTIFICATION BOARD
DE
Enumeration date
02/03/2017
Last updated
02/03/2017
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