Individual
KEITH JAMES RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA, BCBA, LMHC
Contact information
Practice address
606 OLD ROUTE 17, MONTICELLO, NY 12701-7013
(845) 707-8442
Mailing address
606 OLD ROUTE 17, MONTICELLO, NY 12701-7013
(845) 707-8442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005193
NY
103K00000X
Behavior Analyst
Primary
000045
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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