Organization
WILLOW PARK ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWAIS IQBAL (PRESIDENT)
(516) 474-8408
Entity
Organization
Contact information
Practice address
131 LAWN AVENUE, UNIT D4, STAMFORD, CT 06902
(203) 244-7438
Mailing address
4 FARMWOODS LN, GLEN HEAD, NY 11545-2730
(203) 244-7438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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