Individual
KRISTINA MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
16 WOODBINE LN, EAST MORICHES, NY 11940-1413
(631) 767-2571
Mailing address
16 WOODBINE LN, EAST MORICHES, NY 11940-1413
(631) 767-2571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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