Individual
MS. KATE CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
25 HARVARD ST, MASSAPEQUA, NY 11758-6131
(516) 508-2432
Mailing address
25 HARVARD ST, MASSAPEQUA, NY 11758-6131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
002156
NY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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