Individual
LALEH BEIJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
10585 MEDICINE BOW ST, LAS VEGAS, NV 89183-4906
(757) 672-4174
Mailing address
10585 MEDICINE BOW ST, LAS VEGAS, NV 89183-4906
(757) 672-4174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669710125
—
NV
Enumeration date
01/17/2013
Last updated
01/17/2023
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