Individual
KIMBERLY ROSE CROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10 RAINER ST, MELVILLE, NY 11747-1725
(631) 827-2410
Mailing address
10 RAINER ST, MELVILLE, NY 11747-1725
(631) 827-2410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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