Provider Demographics
NPI:1295504884
Name:JUSTE, KINIANA BENTCHINA
Entity type:Individual
Prefix:
First Name:KINIANA
Middle Name:BENTCHINA
Last Name:JUSTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W ECKERSON RD APT 8A
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3522
Mailing Address - Country:US
Mailing Address - Phone:845-200-1620
Mailing Address - Fax:
Practice Address - Street 1:383 TROY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5322
Practice Address - Country:US
Practice Address - Phone:718-218-5528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst