Individual
DANETTE DANELLE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256-06 FRANCIS LEWIS BLVD, ROSEDALE, NY 11422
(917) 674-0165
Mailing address
256-06 FRANCIS LEWIS BLVD, ROSEDALE, NY 11422
(917) 674-0165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
252Y00000X
NY
103K00000X
Behavior Analyst
252Y00000X
NY
103K00000X
Behavior Analyst
—
NY
Other
Enumeration date
06/25/2012
Last updated
07/21/2022
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