Individual
LARISSA PAIGE MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 GOSHEN TPKE, MIDDLETOWN, NY 10941-4031
(845) 360-5744
Mailing address
27 PARK DR APT 103, PLEASANT VALLEY, NY 12569-6043
(845) 417-6110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62330
NY
106S00000X
Behavior Technician
RBT-22-224593
NY
Other
Enumeration date
07/13/2022
Last updated
01/30/2025
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