Provider Demographics
NPI:1528211596
Name:POST, JILL A (MS SP ED)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:A
Last Name:POST
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EMBER DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6408
Mailing Address - Country:US
Mailing Address - Phone:917-743-4831
Mailing Address - Fax:845-634-2308
Practice Address - Street 1:2 EMBER DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6408
Practice Address - Country:US
Practice Address - Phone:917-743-4831
Practice Address - Fax:845-634-2308
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY545609941103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst