Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-05-2158 | NY |
NPI | 1003234212 |
---|---|
Provider Name | Kathleen P Scerbo |
First Address | Larchmont, NY 10538-2204 |
Second Address | Larchmont, NY 10538-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 03/04/2014 |