Provider Demographics
NPI:1861747214
Name:REIMERS, MICHELLE (MS SPECIAL EDUCATION)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:REIMERS
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-1739
Mailing Address - Country:US
Mailing Address - Phone:516-428-0907
Mailing Address - Fax:
Practice Address - Street 1:225 EXECUTIVE DR
Practice Address - Street 2:LL SUITE 102
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1718
Practice Address - Country:US
Practice Address - Phone:516-576-0962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst