Organization
MIRIAM POLTER LICENSED BEHAVIOR ANALYST
Active
Other names
PioneersABA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA LEIDER (ADMINISTRATOR)
(347) 452-9894
Entity
Organization
Contact information
Practice address
22 CAMEO RIDGE RD, MONSEY, NY 10952-2513
(347) 452-9894
Mailing address
22 CAMEO RIDGE RD, MONSEY, NY 10952-2513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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