National Provider Identifier

Brian Wansink, PHD

Brian Wansink, PHD is listed in the NPPES registry with a primary specialty of Behavior Analyst in Ithaca, NY and a listed phone number of (607) 229-3896.

NPI 1346900024Ithaca, NYBehavior Analyst

Profile Overview

NPI
1346900024
Provider Type
Individual
Primary Specialty
Behavior Analyst
Enumeration Date
December 22, 2021
Last Updated
December 22, 2021

Practice Location

  • 159 Reach Run
  • Ithaca, NY 14850-8501

Phone: (607) 229-3896

Specialties

  • Behavior Analyst (103K00000X)
Full Record
NPI
1346900024
Entity Type
Individual
Last Name
Wansink
First Name
Brian
Name Prefix
Prof.
Credential
PHD
Mailing Street Address
159 Reach Run
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8501
Mailing Country
US
Mailing Phone
(607) 220-6050
Practice Street Address
159 Reach Run
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-8501
Practice Country
US
Practice Phone
(607) 229-3896
Enumeration Date
December 22, 2021
Last Updated
December 22, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
December 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Analyst (103K00000X)