Berardi, Kelly

Berardi, Kelly is an individual health care provider with primary practice located at 1000 Rosedale Rd , Valley Stream NY 11581-2703. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Berardi, Kelly can be contacted via phone (516) 224-0240.

Contact Information

Primary practice address
1000 Rosedale Rd Valley Stream NY 11581-2703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1719606 New York

Profile Details

NPI number 1730726274
LBN Legal business name Berardi, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730726274 NPPES
New York Other 1719606 EDUCATION

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