Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WIDNA TAVERAS, LBA-NY
Active Sole ProprietorWIDNA TAVERAS, LBA-NY is a Speech-Language Pathologist healthcare provider located in MONROE, New York. NPI 1710249065 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · MONROE, NY
Registration Details
- NPI Number
- 1710249065
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2012 (14.162329990158 yrs)
- Last Updated
- Sep 24, 2025
- Licenses
-
175241 (NY)002474-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
181 PINE TREE ROADMONROE, NY, 10950Browse NY providers · Browse ZIP 10950
- Phone
- 6462969221
- Primary Specialty
-
Speech-Language Pathologist
235500000X
- Additional Specialty
- Behavior Analyst
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.