MEDICARE: CHRISTINE BIRNBAUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-24-72769	NY

General Provider Information

NPI Number	:	1316898836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE BIRNBAUM

Provider Business Mailing Address
First Line	:	25 SIDNEY LN
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6031
Country	:	US
Telephone Number	:	845-420-4424
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 SIDNEY LN
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6031
Country	:	US
Telephone Number	:	845-420-4424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ CHRISTINE BIRNBAUM ” Practice Location

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