Kelly Marie Banker
Early Intervention Provider Agency in Mahopac, NY. Individual provider (NPI-1).
NPI number1669980801
StatusActive
Last updated in NPPESJan 22, 2018
Details
- NPI
- 1669980801
- Entity type
- Individual (NPI-1)
- Name
- Kelly Marie Banker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2018
- Last updated
- Jan 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
120 Vista Terrace S.Mahopac, NY 10541
Phone 917-449-0168
Mailing address
120 Vista Terrace S.Mahopac, NY 10541
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All 13 Early Intervention Provider Agency providers in Mahopac · All 485 providers in Mahopac
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