MEDICARE: WENDY BATTEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1033611322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY BATTEE

Provider Business Mailing Address
First Line	:	4207 KEPLER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-2115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6214 RIVERDALE AVE STE 1A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1032
Country	:	US
Telephone Number	:	718-701-4807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	03/02/2018

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