Provider Demographics
NPI:1851671085
Name:LINDNER-BASS, LAURA (MS SP ED)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:LINDNER-BASS
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1813
Mailing Address - Country:US
Mailing Address - Phone:914-231-5694
Mailing Address - Fax:
Practice Address - Street 1:25 SOUTH DR
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1813
Practice Address - Country:US
Practice Address - Phone:914-231-5694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst