Individual
KATHLEEN LICOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21 OXFORD RD, WHITE PLAINS, NY 10605-3607
(914) 227-6937
Mailing address
21 OXFORD RD, WHITE PLAINS, NY 10605-3607
(914) 227-6937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
05/29/2025
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