Provider Demographics
NPI:1861869612
Name:WEINLEIN, JAIMIE LYNN (MA, BCBA)
Entity type:Individual
Prefix:
First Name:JAIMIE
Middle Name:LYNN
Last Name:WEINLEIN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 OVERLOOK RD APT 2B3
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2452
Mailing Address - Country:US
Mailing Address - Phone:914-424-2487
Mailing Address - Fax:
Practice Address - Street 1:50 MIRY BROOK RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7411
Practice Address - Country:US
Practice Address - Phone:203-343-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-14-15624103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst