=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194398180
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY SCHNEIDER LEBOWITZ BCBA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2021
-----------------------------------------------------
Last Update Date | 07/19/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 404 S HARRISON ST
-----------------------------------------------------
City | EASTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21601-2805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-427-4400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1391 PENNSYLVANIA AVE SE UNIT 545
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20003-3091
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-533-6182
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | 1-12-10383
-----------------------------------------------------
License Number State |
-----------------------------------------------------