Larissa Ann Fedak, EDD CCC-SLP BCBA-D
NPI 1235376997ActiveIndividual· Behavior Analyst· Lanham, MD
Behavior Analyst (EDD CCC-SLP BCBA-D) in Lanham, Maryland, licensed in NY and NJ, with an NPI issued in January 2009.
Overview
| NPI | 1235376997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | EDD CCC-SLP BCBA-D |
| Sole proprietor | Yes |
| NPI issued | Jan 16, 2009 |
| Last updated in NPPES | May 8, 2025 |
| Certified by provider | May 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-11-8515 | — |
| Speech-Language Pathologist | 235Z00000X | 018241 | NY |
| Speech-Language Pathologist | 235Z00000X | 41YS00572200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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