Individual
KRISTIN FAYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
4 BRENTFORD ST, MORRIS PLAINS, NJ 07950-3008
(973) 349-6535
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001834
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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