Provider Demographics
NPI:1780034215
Name:RIVKA WELTSCHER APPLIED BEHAVIORAL ANALYST PLLC
Entity type:Organization
Organization Name:RIVKA WELTSCHER APPLIED BEHAVIORAL ANALYST PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RIVKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:845-746-1476
Mailing Address - Street 1:241 KEARSING PKWY APT C
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-7228
Mailing Address - Country:US
Mailing Address - Phone:845-746-1476
Mailing Address - Fax:
Practice Address - Street 1:241 KEARSING PKWY APT C
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-7228
Practice Address - Country:US
Practice Address - Phone:845-746-1476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health