Provider Demographics
NPI:1124458849
Name:NOLISA, CHINYE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:CHINYE
Middle Name:
Last Name:NOLISA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MOTT ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5002
Mailing Address - Country:US
Mailing Address - Phone:516-441-7896
Mailing Address - Fax:
Practice Address - Street 1:7 MOTT ST
Practice Address - Street 2:SUITE 600
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5002
Practice Address - Country:US
Practice Address - Phone:516-441-7896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst