Meryl Rubin, BCBA
Individual provider Active NPI Behavior Analyst · Thiells, NY
NPI 1457065773 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1457065773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 12 Riverglen Dr
Thiells, NY 10984-1436 - Phone
- (845) 608-6933
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Licensed Behavior Analyst PLLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
12 Riverglen Dr
Thiells, NY 10984-1436
Mailing address
12 Riverglen Dr
Thiells, NY 10984-1436
Phone (845) 608-6933
Other providers in Thiells, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.