Individual
CHRISTINA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14454 WILLETS POINT BLVD, WHITESTONE, NY 11357-3411
(631) 748-1713
Mailing address
14454 WILLETS POINT BLVD, WHITESTONE, NY 11357-3411
(631) 748-1713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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