Miriam Polter Licensed Behavior Analyst

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIRIAM POLTER LICENSED BEHAVIOR ANALYST

Practice address

22 Cameo Ridge Rd
Monsey, NY 10952-2513

Phone

(347) 452-9894

NPI assigned

Mar 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sara Leider

Title

Administrator

Phone

(347) 452-9894

Specialties & licenses 4

Addresses

Other names 1

• PioneersABA Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1285484550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CAMEO RIDGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CAMEO RIDGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522513",
            "telephone_number": "347-452-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM POLTER LICENSED BEHAVIOR ANALYST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "LEIDER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-452-9894",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PioneersABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome Meyer, MD
• MGZ Health Source Inc.
• Zoey Miller
• Ethel Minder
• Miriam Aronoff DDS PLLC
• Laura Mitzmann, M.A., C.C.C.
• Caryn Moeller, RPA-C
• Alexander Mondrow
• Monsey and Spring Valley Medical, P.C.
• Monsey Family Drugstore LLC

• Community/Behavioral Health Agency in Monsey, NY
• Providers in Monsey, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.