Individual
MICHELLE LESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2517 ENFIELD RD, AUSTIN, TX 78703-3715
(612) 205-4969
(866) 302-4553
Mailing address
2517 ENFIELD RD, AUSTIN, TX 78703-3715
(612) 205-4969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18961
BCBA
CA
Enumeration date
08/24/2015
Last updated
08/24/2015
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