Larissa Fedak, EDD CCC-SLP BCBA-D
NPI 1235376997 · Behavior Analyst · Lanham, MD
Larissa Fedak, EDD CCC-SLP BCBA-D is a Behavior Analyst provider in Lanham, MD (NPI 1235376997).
Provider details
- NPI number
- 1235376997
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- EDD CCC-SLP BCBA-D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 018241 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4452 US Highway 421Pennington Gap, VA 24277-7972Phone: (201) 284-9136
Registry dates
- Enumerated
- 2009-01-16
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Frequently asked questions
- What is Larissa Fedak's NPI number?
- Larissa Fedak's National Provider Identifier (NPI) is 1235376997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larissa Fedak's specialty?
- Larissa Fedak is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Larissa Fedak located?
- Larissa Fedak's practice location on file with NPPES is 9500 Annapolis Rd Ste B2c2c3, Lanham, MD 20706-2060.
- What is Larissa Fedak's phone number?
- The practice phone number listed in the NPPES registry for Larissa Fedak is (301) 850-1148.
- Is Larissa Fedak's NPI active?
- Yes — Larissa Fedak's NPI (1235376997) is active in the NPPES registry as of the last update on 2025-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.