NPI 1073227641

Wayne La Roche

Practitioner Behavior Technician Farmingdale, NY

Practice location

Address: 500 Bi County Blvd, Farmingdale, NY 11735-3988
Phone: (718) 264-1640

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1073227641
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2023
Record last updated: 9 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.