Individual
LEIA LYN RAUCHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13 ANN ST, SUCCASUNNA, NJ 07876-1905
(201) 317-4577
Mailing address
13 ANN ST, SUCCASUNNA, NJ 07876-1905
(201) 317-4577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42342
NJ
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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