Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D - in Lanham, MD

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Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D is a Behavior Analyst based in Lanham, Maryland. Dr Larissa Ann Fedak is licensed to practice in * (Not Available) (license number 1-11-8515) and her current practice location is 9500 Annapolis Rd Ste B2c2c3, Lanham, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 850-1148.

NPI number for Dr Larissa Ann Fedak is 1235376997 and her current mailing address is 4452 Us Highway 421, Pennington Gap, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235376997.

Contact Information

Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D
9500 Annapolis Rd Ste B2c2c3,
Lanham, MD 20706-2060
(301) 850-1148
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Larissa Ann Fedak
GenderFemale
SpecialityBehavior Analyst
Location9500 Annapolis Rd Ste B2c2c3, Lanham, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235376997
  • Provider Enumeration Date: 01/16/2009
  • Last Update Date: 05/08/2025

Medical Identifiers

Medical identifiers for Dr Larissa Ann Fedak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235376997NPI-NPPES
1235376997MedicaidNJ
1-11-8515OtherBCBA-D

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 018241 (New York)Secondary
103K00000XBehavior Analyst 1-11-8515 (* (Not Available))Primary
235Z00000XSpeech-language Pathologist 41YS00572200 (New Jersey)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larissa Ann Fedak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D
4452 Us Highway 421,
Pennington Gap, VA 24277-7972

Ph: (855) 832-6727		Dr Larissa Ann Fedak, EDD CCC-SLP BCBA-D
9500 Annapolis Rd Ste B2c2c3,
Lanham, MD 20706-2060

Ph: (301) 850-1148

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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