Individual
KINEISHA HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
981 DITMAS AVE, UNIONDALE, NY 11553-3230
(000) 000-0000
Mailing address
981 DITMAS AVE, UNIONDALE, NY 11553-3230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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