Provider Demographics
NPI:1255576104
Name:ROSNER, LYNDA SUSAN (TSHH, BCBA)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:SUSAN
Last Name:ROSNER
Suffix:
Gender:F
Credentials:TSHH, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ROETHAL DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5809
Mailing Address - Country:US
Mailing Address - Phone:845-897-1788
Mailing Address - Fax:
Practice Address - Street 1:3 ROETHAL DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5809
Practice Address - Country:US
Practice Address - Phone:845-897-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-07-3659103K00000X
NY2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant