Individual
DR. ELLE BEN KIRSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSC, BCBA, LBA
Contact information
Practice address
4615 CENTER BLVD APT 3907, LONG ISLAND CITY, NY 11109-5779
(646) 647-0942
Mailing address
4615 CENTER BLVD APT 3907, LONG ISLAND CITY, NY 11109-5779
(646) 647-0942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1106880
NY
Other
Enumeration date
09/12/2013
Last updated
12/17/2021
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