Provider Demographics
NPI:1437705720
Name:KHOURY, WAFAA (SPECIAL ED TEACHER)
Entity Type:Individual
Prefix:MS
First Name:WAFAA
Middle Name:
Last Name:KHOURY
Suffix:
Gender:F
Credentials:SPECIAL ED TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:IMPORTANT STEPS ,INC EARLY CHILDHOOD PROGRAM
Mailing Address - Street 2:2447 EASTCHESTER RD,2ND FLOOR
Mailing Address - City:BRONX,
Mailing Address - State:NY
Mailing Address - Zip Code:10469
Mailing Address - Country:US
Mailing Address - Phone:718-882-2111
Mailing Address - Fax:
Practice Address - Street 1:IMPORTANT STEPS,INC,
Practice Address - Street 2:2447 EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469
Practice Address - Country:US
Practice Address - Phone:718-882-2111
Practice Address - Fax:718-882-2117
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1313684191103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst