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Jessica Tanya Washington

Behavior Technician in Commack, NY. Individual provider (NPI-1).

NPI number1164067468
StatusActive
Last updated in NPPESNov 10, 2019

Details

NPI
1164067468
Entity type
Individual (NPI-1)
Name
Jessica Tanya Washington
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2019
Last updated
Nov 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician0000NYYes

Practice location

6080 Jericho Tpke Ste 200
Commack, NY 11725-2808

Phone 631-864-7770

Mailing address

6080 Jericho Tpke Ste 200
Commack, NY 11725-2808

Phone 631-864-7770

Other practice locations

100 Autumn Ct
Bay Shore, NY 11706-7402

Phone 646-623-0181

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All 9 Behavior Technician providers in Commack · All 1,683 providers in Commack

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