Provider Demographics
NPI:1801543657
Name:COHEN, LINDSAY
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7103 MILFORD INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6061
Mailing Address - Country:US
Mailing Address - Phone:718-215-5311
Mailing Address - Fax:505-226-3299
Practice Address - Street 1:7103 MILFORD INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6061
Practice Address - Country:US
Practice Address - Phone:718-215-5311
Practice Address - Fax:505-226-3299
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2025-06-13
Deactivation Date:2022-07-18
Deactivation Code:
Reactivation Date:2022-08-09
Provider Licenses
StateLicense IDTaxonomies
MDLBA1341103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst