Individual provider · Type 1 NPI

Larissa Ann Fedak, EDD CCC-SLP BCBA-D

Behavior Analyst · Lanham, MD

NPI number 1235376997 Active

Practice location

9500 Annapolis Rd Ste B2C2C3
Lanham, MD 20706-2060

Call (301) 850-1148 Map

Mailing address

4452 US Highway 421
Pennington Gap, VA 24277-7972

Other practice locations

  • 4452 US Highway 421, Pennington Gap, VA 24277-7972 · (201) 284-9136

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X018241 (NY)
Behavior Analyst Primary 103K00000X1-11-8515
Speech-Language Pathologist 235Z00000X41YS00572200 (NJ)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1235376997

Larissa Ann Fedak, EDD CCC-SLP BCBA-D's National Provider Identifier is 1235376997, issued on Jan 16, 2009. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Lanham, MD. The record was last updated on May 8, 2025.