Individual
KIM ANN PELFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 COUNTY ROUTE 12, NEW HAMPTON, NY 10958-4509
(845) 551-7321
Mailing address
807 COUNTY ROUTE 12, NEW HAMPTON, NY 10958-4509
(845) 551-7321
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
04/27/2021
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