Healthcare Provider Details

I. General information

NPI: 1912810581
Provider Name (Legal Business Name): CHAYA WEISZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 BAKERTOWN RD
MONROE NY
10950-5663
US

IV. Provider business mailing address

105 SCHUNNEMUNK RD
MONROE NY
10950-6256
US

V. Phone/Fax

Practice location:
  • Phone: 845-477-5000
  • Fax:
Mailing address:
  • Phone: 845-477-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number005260-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: