National Provider Identifier

Lisa Schrader, MS ED, BCBA

Lisa Schrader, MS ED, BCBA is listed in the NPPES registry with a primary specialty of Behavior Analyst in Fairport, NY and a listed phone number of (585) 377-6590.

NPI 1598030058Fairport, NYBehavior Analyst

Profile Overview

NPI
1598030058
Provider Type
Individual
Primary Specialty
Behavior Analyst
Enumeration Date
March 16, 2012
Last Updated
March 16, 2012

Practice Location

  • 6 N Main St
  • Ste 110
  • Fairport, NY 14450-1524

Phone: (585) 377-6590

Mailing Address

  • 19019 Ventura Blvd
  • Tarzana, CA 91356-3253

Specialties

  • Behavior Analyst (103K00000X)
Full Record
NPI
1598030058
Entity Type
Individual
Last Name
Schrader
First Name
Lisa
Credential
MS ED, BCBA
Provider Other Last Name
Freeland
Provider Other First Name
Lisa
Provider Other Last Name Type Code
1
Mailing Street Address
19019 Ventura Blvd
Mailing City
Tarzana
Mailing State
CA
Mailing ZIP Code
91356-3253
Mailing Country
US
Mailing Phone
(818) 345-2345
Mailing Fax
(866) 587-2383
Practice Street Address
6 N Main St
Practice Address Line 2
Ste 110
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1524
Practice Country
US
Practice Phone
(585) 377-6590
Practice Fax
(585) 377-6605
Enumeration Date
March 16, 2012
Last Updated
March 16, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Behavior Analyst (103K00000X)