Individual
MAIA QUETZAL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-NY
Contact information
Practice address
172 ROBERT QUIGLEY DR # 172, SCOTTSVILLE, NY 14546-1018
(585) 478-1624
Mailing address
172 ROBERT QUIGLEY DR # 172, SCOTTSVILLE, NY 14546-1018
(585) 478-1624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003532-01
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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