Individual
KRISTINA ALISE MULHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
83 GENESEE AVE, STATEN ISLAND, NY 10308-1330
(646) 529-0832
Mailing address
83 GENESEE AVE, STATEN ISLAND, NY 10308-1330
(646) 529-0832
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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