Individual
LENA ELISABETH FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(310) 883-8607
(503) 963-6496
Mailing address
5435 BALBOA BLVD STE 202, ENCINO, CA 91316-1570
(310) 933-4499
(310) 933-4134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-IN-10203276
OR
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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