Individual
PUSHPAK SREEVATSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHT
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 390-6544
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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