Individual
DANIELLE NICOLE WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
106 GRAY AVE, MEDFORD, NY 11763-1064
(631) 320-6421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
326644351
NY
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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