1427458835 NPI number — KATHERINE MARGARET SCHLOSSER MSED, BCBA

Table of content: KATHERINE MARGARET SCHLOSSER MSED, BCBA (NPI 1427458835)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427458835 NPI number — KATHERINE MARGARET SCHLOSSER MSED, BCBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHLOSSER
Provider First Name:
KATHERINE
Provider Middle Name:
MARGARET
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSED, BCBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
O'HANLON
Provider Other First Name:
KATHERINE
Provider Other Middle Name:
MARGARET
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427458835
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 BEVERLY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTLANDT MANOR
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10567-1108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-490-2277
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12 BEVERLY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORTLANDT MANOR
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10567-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-490-2277
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1-18-29435 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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