Provider Demographics
NPI:1720377062
Name:HENRY-WRIGHT, SHARON A (MSED)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:HENRY-WRIGHT
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1667 E 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3811
Mailing Address - Country:US
Mailing Address - Phone:917-392-6205
Mailing Address - Fax:
Practice Address - Street 1:1667 E 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3811
Practice Address - Country:US
Practice Address - Phone:917-392-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY645338103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst