Individual
KAYLEEN AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 MORRIS PARK AVE, BRONX, NY 10462-3653
(631) 519-0761
Mailing address
1003 BOSTON RD APT 2, BRONX, NY 10456-6899
(646) 407-9032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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