Individual
KAYLA MATAPERSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
564 WINDMILL AVE, WEST BABYLON, NY 11704-4339
(917) 275-3947
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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