Healthcare Provider Details
I. General information
NPI: 1518894732
Provider Name (Legal Business Name): JOANNE BISCHOFSBERGER BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3365 ROUTE 22
DOVER PLAINS NY
12522-6030
US
IV. Provider business mailing address
3365 ROUTE 22
DOVER PLAINS NY
12522-6030
US
V. Phone/Fax
- Phone: 845-656-8008
- Fax:
- Phone: 845-656-8008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 003034 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: