Individual
MRS. CRISSY L WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3 SALISBURY PT, APT 4E, NYACK, NY 10960-4737
(845) 641-8015
Mailing address
141 PINE TREE LN, TAPPAN, NY 10983-2114
(845) 641-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
01/01/2011
Last updated
07/27/2022
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