Tara Cardenas, M Ed., BCBA, LBA
Behavior Analyst in Malverne, NY. Individual provider (NPI-1).
NPI number1679828107
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1679828107
- Entity type
- Individual (NPI-1)
- Name
- Tara Cardenas
- Credential
- M Ed., BCBA, LBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2012
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 000437-01 | NY | Yes |
Practice location
79 Walker StMalverne, NY 11565-1830
Phone 917-627-9404
Mailing address
79 Walker StMalverne, NY 11565-1830
Phone 917-725-1779
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