Individual
DR. AMY JEAN DAVIES LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
124 W 95TH ST # 2A, NEW YORK, NY 10025-6604
(646) 765-0130
Mailing address
155 W 68TH ST APT 203, NEW YORK, NY 10023-5842
(646) 765-0130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000264-1
NY
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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