Provider Demographics
NPI:1316351067
Name:WING, AARON (BCBA)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:WING
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 3RD AVE
Mailing Address - Street 2:#5C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1037
Mailing Address - Country:US
Mailing Address - Phone:303-596-0369
Mailing Address - Fax:
Practice Address - Street 1:276 3RD AVE
Practice Address - Street 2:#5C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1037
Practice Address - Country:US
Practice Address - Phone:303-596-0369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst