Provider Demographics
NPI:1316470040
Name:SCHNEIDERMAN, EVAN (BCBA)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:SCHNEIDERMAN
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BAYCHESTER AVE
Mailing Address - Street 2:APT 14J
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4431
Mailing Address - Country:US
Mailing Address - Phone:914-882-2394
Mailing Address - Fax:
Practice Address - Street 1:600 BAYCHESTER AVE
Practice Address - Street 2:APT 14J
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4431
Practice Address - Country:US
Practice Address - Phone:914-882-2394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2025-01-28
Deactivation Date:2025-01-24
Deactivation Code:
Reactivation Date:2025-01-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst