Individual
DANIELLE MICERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
141 STOWE DR, POUGHQUAG, NY 12570-4931
(845) 490-1880
Mailing address
141 STOWE DR, POUGHQUAG, NY 12570-4931
(845) 490-1880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001343
NY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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