Individual
SANTANA LOUISE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ACADEMY RD, ALBANY, NY 12208-3102
(413) 449-6146
Mailing address
25 ACADEMY RD, ALBANY, NY 12208-3102
(413) 449-6146
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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