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Individual
LEA ELMER
Active
Individual
LEA ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48595
CA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-48595
BACB
CA
Enumeration date
02/23/2018
Last updated
04/29/2022
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