Individual
HARLEY KLEMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
491 KILVERT ST, WARWICK, RI 02886-1370
(401) 618-6991
Mailing address
491 KILVERT ST, WARWICK, RI 02886-1370
(401) 618-6991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
04/22/2023
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