Individual
MRS. MILENA PRIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSED, BCBA, NYS
Contact information
Practice address
26 GREENCROFT LN, STATEN ISLAND, NY 10308-3262
(917) 494-9210
Mailing address
26 GREENCROFT LN, STATEN ISLAND, NY 10308-3262
(917) 494-9210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001935
NY
174400000X
Specialist
1248458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-42463
BCBA
—
05
—
54533
—
NY
Enumeration date
06/07/2012
Last updated
09/14/2024
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