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
Phone: (516) 224-0240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730726274 | NPPES |
| New York | Other | 1719606 | EDUCATION |
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