Individual
KYANNI TAHNASIA TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
15717 129TH AVE, JAMAICA, NY 11434-2833
(718) 644-9446
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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