National Provider Identifier
Maia Quetzal Simon, BCBA, LBA-NY
Maia Quetzal Simon, BCBA, LBA-NY is listed in the NPPES registry with a primary specialty of Behavior Analyst in Scottsville, NY and a listed phone number of (585) 478-1624.
Profile Overview
- NPI
- 1811880453
- Provider Type
- Individual
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- June 02, 2025
- Last Updated
- June 02, 2025
Practice Location
- 172 Robert Quigley Dr # 172
- Scottsville, NY 14546-1018
Phone: (585) 478-1624
Specialties
- Behavior Analyst (103K00000X)
Full Record
- NPI
- 1811880453
- Entity Type
- Individual
- Last Name
- Simon
- First Name
- Maia
- Middle Name
- Quetzal
- Credential
- BCBA, LBA-NY
- Mailing Street Address
- 172 Robert Quigley Dr # 172
- Mailing City
- Scottsville
- Mailing State
- NY
- Mailing ZIP Code
- 14546-1018
- Mailing Country
- US
- Mailing Phone
- (585) 478-1624
- Practice Street Address
- 172 Robert Quigley Dr # 172
- Practice City
- Scottsville
- Practice State
- NY
- Practice ZIP Code
- 14546-1018
- Practice Country
- US
- Practice Phone
- (585) 478-1624
- Enumeration Date
- June 02, 2025
- Last Updated
- June 02, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Analyst (103K00000X)