Individual
JESSICA HORTON KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D
Contact information
Practice address
136 E 76TH ST APT 3F, NEW YORK, NY 10021-2830
(626) 430-8635
Mailing address
136 E 76TH ST APT 3F, NEW YORK, NY 10021-2830
(626) 430-8635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001843-01
NY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
07/20/2016
Last updated
11/18/2025
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