Provider Demographics
NPI:1861876641
Name:COATNEY, ABIGAIL R (MS ED)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:R
Last Name:COATNEY
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:WESTBROOKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12785-0243
Mailing Address - Country:US
Mailing Address - Phone:971-201-1686
Mailing Address - Fax:
Practice Address - Street 1:2250 GOSHEN TPKE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4031
Practice Address - Country:US
Practice Address - Phone:845-360-5744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-12
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001393-01103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst