Provider Demographics
NPI:1679032106
Name:BUDD, ANNA (LBA, BCBA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:BUDD
Suffix:
Gender:F
Credentials:LBA, BCBA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5022 245TH ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1627
Mailing Address - Country:US
Mailing Address - Phone:917-324-5936
Mailing Address - Fax:
Practice Address - Street 1:5022 245TH ST
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-1627
Practice Address - Country:US
Practice Address - Phone:917-324-5936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001675-1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-18-33822OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD
NY001675-1OtherNEW YORK STATE EDUCATION DEPARTMENT