Individual
LAURA WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CARROLL ST, NEWBURGH, NY 12550-5136
(845) 563-0671
(845) 563-0707
Mailing address
11 CARROLL ST, NEWBURGH, NY 12550-5136
(845) 563-0671
(845) 563-0707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
06/01/2015
Last updated
07/21/2022
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