Individual
MR. JOHN UDAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
12 HENRY AVE, MILLER PLACE, NY 11764-3218
(631) 833-9296
Mailing address
12 HENRY AVE, MILLER PLACE, NY 11764-3218
(631) 833-9296
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
09/23/2021
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