Widna Taveras, LBA-NY

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

175241 Issued in NY

Practice address

181 Pine Tree Road
Monroe, NY 10950

Phone

(646) 296-9221

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Small Footsteps Licensed Behavior Analysis PC

  • PACE Provider Organization
  • Monroe, NY
  • NPI 1750107546
  NPD Authorized official

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1710249065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PINE TREE RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503967",
            "telephone_number": "646-296-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PINE TREE ROAD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "646-296-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "WIDNA",
        "credential": "LBA-NY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "175241",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002474-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Taub
• Gitty Tauber
• Brooke Y Tave, LPN
• Edward J Taveras
• Emily Taveras
• Emily Pelham Tedeschi, MS.ED
• Martin Teich, RPH
• Lauren Jill Telesmanic
• Sharon Tepfer Rubin, MS CCC/SLP
• Sandra L Tetler, FNP

• Speech/Language/Hearing Specialist/Technologist in Monroe, NY
• Providers in Monroe, NY by specialty
• Speech/Language/Hearing Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.