Individual
MRS. KETSIA LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
Mailing address
13 HASBROUCK DR APT E, GARNERVILLE, NY 10923-1644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003225
NY
Other
Enumeration date
11/21/2023
Last updated
11/29/2023
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