Individual
KRISTINMARIE WATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 SNOWBERRY LN, ISLANDIA, NY 11749-1611
(631) 897-8678
Mailing address
82 SNOWBERRY LANE, ISLANDIA, NY 11749
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
476089101
NY
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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