Individual
NIA WATERHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W 30TH ST FL 9, NEW YORK, NY 10001-3406
(646) 410-5871
(347) 619-0735
Mailing address
127 W 30TH ST FL 9, NEW YORK, NY 10001-3406
(646) 410-5871
(347) 619-0735
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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