NPI 1013487719

Mary Theresa Peter

Practitioner Behavior Analyst Bronx, NY

Practice location

Address: 860 Melrose Ave, Bronx, NY 10451-4443
Phone: (917) 473-0896
Fax: (718) 504-4551
Mailing address: 1220 E 86th St, Brooklyn, NY 11236-4928

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 900B (NY)

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Registry record

NPI: 1013487719
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2018
Record last updated: 26 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.