Individual
MARIA PANTELIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
501 CHESTNUT RIDGE RD STE 206, CHESTNUT RIDGE, NY 10977-5669
(718) 650-6540
(718) 650-6475
Mailing address
501 CHESTNUT RIDGE RD STE 206, CHESTNUT RIDGE, NY 10977-5669
(718) 650-6540
(718) 650-6475
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11211760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11211760
BEHAVIOR ANALYST CERTIFICATION BOARD
NY
Enumeration date
09/08/2015
Last updated
09/08/2015
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