Organization
BEHAVIOR CHANGE SUCCESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE VICTORIA WRIGHT MS B.C.B.A. (DIRECTOR)
(516) 799-1045
Entity
Organization
Contact information
Practice address
331 EASTLAKE AVE, MASSAPEQUA PARK, NY 11762-1836
(516) 640-0798
Mailing address
331 EASTLAKE AVE, MASSAPEQUA PARK, NY 11762-1836
(516) 640-0798
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1095079
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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