Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D is a
Behavior Analyst based in Nashua, New Hampshire. Dr Larissa Ann Fedak is licensed to practice in * (Not Available) (license number 1-11-8515) and her current practice location is
155 Main Dunstable Rd Ste 150, Nashua, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 660-6306.
NPI number for Dr Larissa Ann Fedak is 1235376997 and her current mailing address is 4452 Us Highway 421, Pennington Gap, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235376997.
Healthcare Provider's Profile
Full Name | Dr Larissa Ann Fedak |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 155 Main Dunstable Rd Ste 150, Nashua, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235376997
- Provider Enumeration Date: 01/16/2009
- Last Update Date: 03/16/2022
Medical Identifiers
Medical identifiers for Dr Larissa Ann Fedak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235376997 | NPI | - | NPPES |
1-11-8515 | Other | | BCBA-D |
1235376997 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 41YS00572200 (New Jersey) | Secondary |
235Z00000X | Speech-language Pathologist | 018241 (New York) | Secondary |
103K00000X | Behavior Analyst | 1-11-8515 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larissa Ann Fedak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D 4452 Us Highway 421, Pennington Gap, VA 24277-7972 Ph: (855) 832-6727 | Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D 155 Main Dunstable Rd Ste 150, Nashua, NH 03060-3640 Ph: (603) 660-6306 |
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