Individual
KAYLA ROSE GORGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
119 GREENWOOD DR, MASSAPEQUA, NY 11758-2228
(516) 749-3399
Mailing address
119 GREENWOOD DR, MASSAPEQUA, NY 11758-2228
(516) 749-3399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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