Individual
MS. KIMBERLY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12510 QUEENS BLVD APT 2509, KEW GARDENS, NY 11415-1513
(516) 426-9105
Mailing address
12510 QUEENS BLVD APT 2509, KEW GARDENS, NY 11415-1513
(516) 426-9105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
699520
NY
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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