Bush Blackwell, Lynette

Bush Blackwell, Lynette is an sole proprietor health care provider with primary practice located at 11 Willow St , Wheatley Heights NY 11798-1829. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bush Blackwell, Lynette can be contacted via phone (631) 920-6542.

Contact Information

Primary practice address
11 Willow St Wheatley Heights NY 11798-1829
Phone: (631) 920-6542
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1508303116
LBN Legal business name Bush Blackwell, Lynette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2017
Last updated Jan 21st, 2017 - about 8 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.

Request for update

Popular Providers