Individual
JENNIFER KITAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4254 235TH ST APT 2, DOUGLASTON, NY 11363-1525
(914) 384-6522
Mailing address
4254 235TH ST APT 2, DOUGLASTON, NY 11363-1525
(914) 384-6522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
847872141
NY
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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