Healthcare Provider Details

I. General information

NPI: 1023246972
Provider Name (Legal Business Name): AUDREY HOWARD M.A., C.A.S., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUDREY SCHIAVO

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4134 SENECA ST
BUFFALO NY
14224-3044
US

IV. Provider business mailing address

4134 SENECA ST
BUFFALO NY
14224-3044
US

V. Phone/Fax

Practice location:
  • Phone: 716-795-7496
  • Fax:
Mailing address:
  • Phone: 716-795-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number004894-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number630110121
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: