Volengy | |
442 E 115th St #5b New York NY 10029-1708 | |
(843) 513-5306 | |
Not Available |
Full Name | Volengy |
---|---|
Speciality | Behavior Analyst |
Location | 442 E 115th St, New York, New York |
Authorized Official Name and Position | Eon Washington (PRINCIPAL) |
Authorized Official Contact | 8435135306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Volengy 442 E 115th St #5b New York NY 10029-1708 Ph: (843) 513-5306 | Volengy 442 E 115th St #5b New York NY 10029-1708 Ph: (843) 513-5306 |
NPI Number | 1225433816 |
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Provider Enumeration Date | 10/26/2014 |
Last Update Date | 10/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225433816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | 006565 (South Carolina) | Secondary |
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