Small Footsteps Licensed Behavior Analysis PC
NPI 1750107546ActiveOrganization· PACE Provider Organization· Monroe, NY
PACE Provider Organization in Monroe, New York, registered in NPPES in November 2024. The authorized official on file is Widna Taveras, Licensed Behavior.
Overview
| NPI | 1750107546 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2024 |
| Last updated in NPPES | Jul 30, 2025 |
| Certified by provider | Jul 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
| Early Intervention Provider Agency | 252Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|