Healthcare Provider Details
I. General information
NPI: 1790568160
Provider Name (Legal Business Name): SMART STEPS LICENSED BEHAVIOR ANALYST PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 STATE ROUTE 17M STE C
HARRIMAN NY
10926-3245
US
IV. Provider business mailing address
68 JEFFERSON ST
HIGHLAND MILLS NY
10930-2726
US
V. Phone/Fax
- Phone: 845-837-6001
- Fax:
- Phone: 845-837-6001
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YEHUDIT
WEINSTOCK
Title or Position: DIRECTOR
Credential: LBA
Phone: 845-837-6001