Individual
BERTA KHOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1552 E 15TH ST, BROOKLYN, NY 11230-6702
(718) 759-8982
Mailing address
1552 E 15TH ST, BROOKLYN, NY 11230-6702
(718) 759-8982
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003326
NY
174400000X
Specialist
1242101181
NY
Other
Enumeration date
07/25/2019
Last updated
02/01/2024
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