Individual
KIARA MARIE CAMPOVERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 HEMPSTEAD TPKE # 1, FRANKLIN SQUARE, NY 11010-2631
(516) 865-1146
Mailing address
PO BOX 771047, WOODSIDE, NY 11377-1047
(347) 485-0622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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