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Organization
JESSICA LIEBER, M.S., BCBA
Active
Organization
JESSICA LIEBER, M.S., BCBA
Active
Other names
Forward Behavior
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LIEBER M.S., BCBA (EXECUTIVE DIRECTOR / OWNER)
(323) 452-9065
Entity
Organization
Contact information
Practice address
6426 W 5TH ST, LOS ANGELES, CA 90048-4710
(818) 804-9219
Mailing address
6426 W 5TH ST, LOS ANGELES, CA 90048-4710
(818) 804-9219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6533
CA
Other
Enumeration date
12/19/2017
Last updated
02/03/2021
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