Provider Demographics
NPI:1598321366
Name:SEDOTA, LINDSEY ANNE (BCBA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANNE
Last Name:SEDOTA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 ROBINWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129
Mailing Address - Country:US
Mailing Address - Phone:412-352-1419
Mailing Address - Fax:
Practice Address - Street 1:11835 FISHING POINT DRIVE SITE 202
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608
Practice Address - Country:US
Practice Address - Phone:757-243-1033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133002225103K00000X
1-19-35653103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst