Small Footsteps Licensed Behavior Analysis PC

PACE Provider Organization · Monroe, NY

Organization Active NPI

NPI number 1750107546

Practice location

181 Pine Tree Rd
Monroe, NY 10950-3967
Phone
(646) 296-9221

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NPI record

NPI
1750107546
Entity type
Organization (Type 2)
Enumeration date
November 26, 2024
Last updated
July 30, 2025
Certified
July 30, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
PACE Provider Organization Primary 251T00000X — —
Early Intervention Provider Agency 252Y00000X — —

Authorized official

Name
Widna Taveras
Title
Licensed Behavior
Phone
(646) 296-9221

About Small Footsteps Licensed Behavior Analysis PC

Small Footsteps Licensed Behavior Analysis PC is a healthcare organization registered in the NPI registry with the primary taxonomy PACE Provider Organization (code 251T00000X). The practice location is 181 Pine Tree Rd, Monroe, NY 10950-3967. The NPI number 1750107546 was assigned on November 26, 2024 and the record was last updated on July 30, 2025.

The authorized official for this organization is Widna Taveras, Licensed Behavior.

Frequently asked questions

What is the NPI number of Small Footsteps Licensed Behavior Analysis PC?

The NPI number is 1750107546.

What is the phone number of Small Footsteps Licensed Behavior Analysis PC?

The phone number listed for the practice location is (646) 296-9221.

Where is Small Footsteps Licensed Behavior Analysis PC located?

181 Pine Tree Rd, Monroe, NY 10950-3967.

What is the taxonomy code for Small Footsteps Licensed Behavior Analysis PC?

The primary taxonomy code is 251T00000X – PACE Provider Organization; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.