MS. Lisa Wilson
MS. Lisa Wilson is a Behavior Technician in Patchogue, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
61 Daisy StPatchogue, NY 11772-2705
Phone: (631) 681-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 975026 (NY) |
|---|
Record details
| NPI number | 1215770003 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2024 |
| Last updated in NPPES | June 18, 2024 |
| Certification date | June 18, 2024 |
| Mailing address | 61 Daisy St, Patchogue, NY 11772-2705 |
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Mitchell Lang
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-
Kaddegra McKoy
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