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General NPI Number Information
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NPI Number | 1720310303
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Entity Type | Individual
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Provider Name | DENISE V WRIGHT BCBA, LBA, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 4250 SUNRISE HWY STE 206
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5344
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Country | US
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Telephone | 516-640-0798
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Fax |
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Provider Business Mailing Address
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Address Line | 331 EASTLAKE AVE
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-1836
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Country | US
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Telephone | 516-640-0798
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1095079
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026509
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License Number State | NY
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