Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003293960 |
---|---|
Provider Name | Meredith Weintraub |
First Address | North Bellmore, NY 11710-1342 |
Second Address | North Bellmore, NY 11710-1342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 29/04/2015 |