Individual
EMILY WATERWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 82ND ST, NEW YORK, NY 10024-5511
(646) 450-6210
Mailing address
300 E 75TH ST APT 24P, NEW YORK, NY 10021-3379
(954) 629-4519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-10266
FL
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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