Individual
KRISTEN MICHELLE KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MARQUIS DR, EIGHTY FOUR, PA 15330-2871
(304) 919-2843
Mailing address
109 MARQUIS DR, EIGHTY FOUR, PA 15330-2871
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005941
PA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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