Individual
KHADIDJA OUCHEFOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 HOLTEN AVE FL 2, STATEN ISLAND, NY 10309-3715
(327) 455-5504
Mailing address
2102 AVENUE Z, BROOKLYN, NY 11235-3081
(347) 921-3250
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/20/2023
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