Individual
MISS KATHLEEN A REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 4TH AVE, HOLTSVILLE, NY 11742-2338
(631) 813-8149
Mailing address
157 4TH AVE, HOLTSVILLE, NY 11742-2338
(631) 813-8149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002465
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/01/2017
Last updated
04/17/2023
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