Individual
BRIAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1111 BAKER ST, COSTA MESA, CA 92626-4138
(949) 910-6767
Mailing address
1111 BAKER ST, COSTA MESA, CA 92626-4138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-21210
CA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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