Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003338609 |
---|---|
Provider Name | Rachel Kramer |
First Address | Dix Hills, NY 11746-7911 |
Second Address | Dix Hills, NY 11746-7911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2017 |
Last Update Date | 14/07/2017 |