Provider Demographics
NPI:1649532730
Name:SALMON, TEISA (BCBA)
Entity type:Individual
Prefix:MS
First Name:TEISA
Middle Name:
Last Name:SALMON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 FIFTH AVE # 2R
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-3702
Mailing Address - Country:US
Mailing Address - Phone:914-290-0990
Mailing Address - Fax:
Practice Address - Street 1:421 FIFTH AVE # 2R
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-3702
Practice Address - Country:US
Practice Address - Phone:914-290-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist