Individual
THALIA MIESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 GRAND CONCOURSE, BRONX, NY 10452-6318
(917) 714-8111
Mailing address
1505 GRAND CONCOURSE, BRONX, NY 10452-6318
(917) 714-8111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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