Individual
JESSICA KHAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6259 108TH ST APT 7K, FOREST HILLS, NY 11375-1327
(917) 476-5384
Mailing address
6259 108TH ST APT 7K, FOREST HILLS, NY 11375-1327
(917) 476-5384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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