Individual
KATHYRIA AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2571 47TH ST, ASTORIA, NY 11103-1108
(510) 648-4506
Mailing address
2571 47TH ST, ASTORIA, NY 11103-1108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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