Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARISSA ANN FEDAK, EDD CCC-SLP BCBA-D
Active Sole ProprietorDR. LARISSA ANN FEDAK, EDD CCC-SLP BCBA-D is a Behavior Analyst healthcare provider located in LANHAM, Maryland. NPI 1235376997 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · LANHAM, MD
Registration Details
- NPI Number
- 1235376997
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2009 (17.783362336934 yrs)
- Last Updated
- May 8, 2025
- Licenses
-
018241 (NY)1-11-851541YS00572200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9500 ANNAPOLIS RD STE B2C2C3LANHAM, MD, 207062060Browse MD providers · Browse ZIP 20706
- Phone
- 3018501148
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Behavior Analyst Providers in LANHAM, MD
| Name | Credential | NPI |
|---|---|---|
| DOMINIQUE LOVING | — | 1386086130 |
| MARIA STANGHERLIN | — | 1568854925 |
| CARRIE PORTER | — | 1205221033 |
| LAURA CALIGIURI | — | 1760869614 |
| MEGHAN O'REILLY-GREEN | — | 1568843431 |
| JAMIE MORSE | — | 1073996799 |
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.