Wilson, Lisa

Wilson, Lisa is an sole proprietor health care provider with primary practice located at 61 Daisy St , Patchogue NY 11772-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wilson, Lisa can be contacted via phone (631) 681-7855.

Contact Information

Primary practice address
61 Daisy St Patchogue NY 11772-2705
Phone: (631) 681-7855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 975026 New York

Profile Details

NPI number 1215770003
LBN Legal business name Wilson, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2024
Last updated Jun 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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