Provider Demographics
NPI:1841694973
Name:KUO, JOYCE (MED, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8048 230TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2106
Mailing Address - Country:US
Mailing Address - Phone:917-302-6992
Mailing Address - Fax:
Practice Address - Street 1:1 EXPRESSWAY PLZ
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2047
Practice Address - Country:US
Practice Address - Phone:516-621-2681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001889103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst