Individual
DYLAN A KAZYAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(718) 215-5311
(718) 865-5165
Mailing address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(718) 215-5311
(718) 865-5165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002825-01
NY
Other
Enumeration date
12/09/2021
Last updated
05/23/2023
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