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Individual
LEEANN ROSE VANBEENEN
Active
Individual
LEEANN ROSE VANBEENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y2148208
CA
106E00000X
Assistant Behavior Analyst
Y2148208
CA
106S00000X
Behavior Technician
Y2148208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04211999
—
CA
Enumeration date
06/11/2019
Last updated
05/11/2026
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