Healthcare Provider Details

I. General information

NPI: 1710290879
Provider Name (Legal Business Name): LAURIE MICHELLE BAUMANN TSHH, MS, BCBA, SDL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E BETHPAGE RD SUITE 5
PLAINVIEW NY
11803-4228
US

IV. Provider business mailing address

9 BRIAN ST
PLAINVIEW NY
11803-2101
US

V. Phone/Fax

Practice location:
  • Phone: 516-731-5588
  • Fax: 516-577-9617
Mailing address:
  • Phone: 631-926-9144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: