Individual
BRIANNA MARIE KOKTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 FORTS FERRY RD, LATHAM, NY 12110-1831
(518) 542-6002
Mailing address
131 FORTS FERRY RD, LATHAM, NY 12110-1831
(518) 542-6002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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