Individual provider · Type 1 NPI
Widna Taveras, LBA-NY
Speech/Language/Hearing Specialist/Technologist · Monroe, NY
NPI number
1710249065
Active
Practice location
181 Pine Tree Road
Monroe, NY 10950
Mailing address
181 Pine Tree Rd
Monroe, NY 10950-3967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech/Language/Hearing Specialist/Technologist Primary | 235500000X | 175241 (NY) |
| Behavior Analyst | 103K00000X | 002474-01 (NY) |
Speech/Language/Hearing Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
About NPI 1710249065
Widna Taveras, LBA-NY's National Provider Identifier is 1710249065, issued on Jun 12, 2012. The primary taxonomy on file is Speech/Language/Hearing Specialist/Technologist (235500000X), and the practice location is in Monroe, NY. The record was last updated on Sep 24, 2025.