Kaddegra Mckoy

NPI #1316792401 in Patchogue, New York

Provider Information

NPI Number: 1316792401
Entity Type: Individual
Name: Kaddegra Mckoy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 22, 2024
Last Updated: Apr 22, 2024

Practice Location

Address: 475 E MAIN ST
City: Patchogue
State: New York
ZIP Code: 11772-3121
Phone: (631) 730-8828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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