Individual
LISA BUECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6 WASHINGTON AVE, HICKSVILLE, NY 11801-2108
(516) 761-4714
Mailing address
6 WASHINGTON AVE, HICKSVILLE, NY 11801-2108
(516) 761-4714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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