Individual
MR. LIONEL VINCENT VANDUYNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S ED
Contact information
Practice address
25 SAINT NICHOLAS TER APT 26, NEW YORK, NY 10027-2834
(917) 539-5920
Mailing address
25 SAINT NICHOLAS TER APT 26, NEW YORK, NY 10027-2834
(917) 539-5920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
THERAPIST
NY
Enumeration date
07/09/2012
Last updated
07/09/2012
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