MEDICARE: MISS LINDSY MARIE FRANTZ BCBA, LBS

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	BH000403	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12707619	OTHER		CAQH
2	BH000403	OTHER	PA	STATE LICENSE

General Provider Information

NPI Number	:	1720494776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LINDSY MARIE FRANTZ BCBA, LBS

Provider Business Mailing Address
First Line	:	785 5TH AVE STE 3
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-4232
Country	:	US
Telephone Number	:	717-263-9555
Fax Number	:	717-709-6529

Provider Business Practice Location Address
First Line	:	125 SCHNEIDER DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17046-4875
Country	:	US
Telephone Number	:	717-270-2425
Fax Number	:	717-270-2472

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

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	09/30/2022

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