Individual provider · Type 1 NPI

Linda Diane Southard, MSED, BCABA

Specialist · Farmingdale, NY

NPI number 1356602403 Active

Practice location

81 Secatogue Ave, Unit 16
Farmingdale, NY 11735-1984

Call (516) 655-0686 Map

Fax (516) 379-6053

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Behavior Analyst 103K00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1356602403

Linda Diane Southard, MSED, BCABA's National Provider Identifier is 1356602403, issued on Jun 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmingdale, NY. The record was last updated on Jun 6, 2012.