Alyce Ware Poli, MSED.

Individual provider Active NPI Behavior Analyst · Patterson, NY

NPI 1497022255 · NPPES record last updated Nov 22, 2011

Key facts

NPI
1497022255
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
638325 (NY)
Practice address
2 Bonnie Court
Patterson, NY 12563
Phone
(845) 319-3225
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
638325NYMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 638325 NY Yes

Addresses

Primary practice location

2 Bonnie Court
Patterson, NY 12563

Mailing address

2 Bonnie CT
Patterson, NY 12563-2768
Phone (845) 319-3225

Other providers in Patterson, NY

All providers in Patterson, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.