Provider Demographics
NPI:1396884755
Name:SCHWARTZ, LINDAJEANNE ANNE (MS, SLP, TSHH, BCBA)
Entity type:Individual
Prefix:MRS
First Name:LINDAJEANNE
Middle Name:ANNE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MS, SLP, TSHH, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 JENNIFERS PATH
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-1449
Mailing Address - Country:US
Mailing Address - Phone:631-288-2923
Mailing Address - Fax:
Practice Address - Street 1:20 JENNIFERS PATH
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-1449
Practice Address - Country:US
Practice Address - Phone:631-288-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-05-2433103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst