Individual
KYLANA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MAPLE RD, AMITYVILLE, NY 11701-1011
(908) 512-6100
Mailing address
20 MAPLE RD, AMITYVILLE, NY 11701-1011
(908) 512-6100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2017
Last updated
08/19/2025
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