Individual
KRISTEN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 SAINT NICHOLAS AVE, NEW YORK, NY 10026-1212
(845) 765-0463
Mailing address
PO BOX 900, BEACON, NY 12508-0900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12829
NY
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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