Victoria Connie Wu
Behavior Technician in Melville, NY. Individual provider (NPI-1).
NPI number1164098711
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1164098711
- Entity type
- Individual (NPI-1)
- Name
- Victoria Connie Wu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone 631-385-7780
Mailing address
290 Southwood CirSyosset, NY 11791-5713
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